NPIMap

Organization Active NPI

Synergy Therapeutics LLC

Doing business as Synergy Therapeutics

  • Massage Therapist
  • Eugene, OR
National Provider Identifier
1720825292
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SYNERGY THERAPEUTICS LLC
Doing business as
Synergy Therapeutics
Practice address
1245 Charnelton St Ste 7
Eugene, OR 97401-6206
Phone
(541) 515-0232
NPI assigned
Jul 11, 2024
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kestrel Wilder, LMTNPI 1982097978
Title
Owner, LMT
Phone
(541) 515-0232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1245 Charnelton St Ste 7
Eugene, OR 97401-6206

Mailing address

1245 Charnelton St Ste 7
Eugene, OR 97401-6206
Phone (541) 515-0232

Other names 1

  • Synergy Therapeutics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1720825292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 CHARNELTON ST STE 7",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016206",
            "telephone_number": "541-515-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 CHARNELTON ST STE 7",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016206",
            "telephone_number": "541-515-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "KESTREL",
        "authorized_official_title_or_position": "OWNER, LMT",
        "authorized_official_telephone_number": "541-515-0232",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.