NPIMap

Organization Active NPI

Synergy Manual Physical Therapy PC

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1740697440
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SYNERGY MANUAL PHYSICAL THERAPY PC
Practice address
2375 Telstar Dr Ste 115
Colorado Springs, CO 80920-1029
Phone
(719) 282-2320
Fax
(719) 282-2330
NPI assigned
Jul 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Ric Wegrzyn
Title
Practice Manager
Phone
(719) 633-3479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2375 Telstar Dr Ste 115
Colorado Springs, CO 80920-1029

Mailing address

2375 Telstar Dr Ste 115
Colorado Springs, CO 80920-1029
Phone (719) 282-2320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091029000076 CO Part B Supplier - Clinic/Group Practice 4688711351 Receives reassigned benefits from 8 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Colorado Springs, CO

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Synergy Manual Physical Therapy PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2375 Telstar Dr
Ste 115
Colorado Springs, CO 80920
Phone (719) 282-2320

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1740697440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 TELSTAR DR STE 115",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201029",
            "telephone_number": "719-282-2320",
            "fax_number": "719-634-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 TELSTAR DR STE 115",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201029",
            "telephone_number": "719-282-2320",
            "fax_number": "719-282-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY MANUAL PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "WEGRZYN",
        "authorized_official_first_name": "RIC",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "719-633-3479"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.