Synergy Rehab Bridgeport LLC
Organization Active NPI Physical Therapist · Bridgeport, NE
NPI 1700587334 · NPPES record last updated Mar 10, 2023
Key facts
- NPI
- 1700587334
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- SYNERGY REHAB BRIDGEPORT LLC
- Practice address
- 1010 Main St
Bridgeport, NE 69336-4035 - Phone
- (970) 466-0792
- NPI assigned
- Mar 10, 2023
- Organization subpart
- No
Authorized official
- Name
- Mr. Daren Martin, MPT
- Title
- Co-Owner
- Phone
- (307) 780-8331
Practitioners 3
-
Chelsey Marie Kraupie, PT, DPT
-
Kael Juelfs, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230818002432 | NE | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3274995402 |
Receives reassigned benefits from 3 practitioners Practice locations: Bridgeport, NE |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
1010 Main St
Bridgeport, NE 69336-4035
Mailing address
PO Box 1244
Mountain View, WY 82939-1244
Other providers in Bridgeport, NE
- Senex Foundation of Nebraska, Inc
- Senex Foundation of Nebraska, Inc
- Kimberly Dawn Sides
- Joseph Anthony Stichka
- Terri Stuart
- Trail City Wellness LLC
- Nathan I Van Winkle
- Haley Rose Wood
All providers in Bridgeport, NE · Physical Therapist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.