Active NPI
Synergy Rehab Center LLC
- Physical Therapy Clinic/Center
- Gaithersburg, MD
National Provider Identifier
1831566801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 25428
- Legal business name
- SYNERGY REHAB CENTER LLC
- Practice address
- 700 Professional Dr
Gaithersburg, MD 20879-3418 - Phone
- (240) 447-6523
- NPI assigned
- Aug 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sizhu Wang, DPT
- Title
- Owner
- Phone
- (240) 447-6523
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 25428 | MD | Primary |
Addresses
Primary practice location
700 Professional Dr
Gaithersburg, MD 20879-3418
Mailing address
700 Professional Dr
Gaithersburg, MD 20879-3418
Phone (240) 447-6523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25428 | Other | MD | MARYLAND BOARD OF PHYSICAL THERAPY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
700 Professional Dr
Gaithersburg, MD 20879
Phone (240) 447-6523
Practitioners & affiliated clinicians
Practitioners 1
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": "1440547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726531200000",
"number": "1831566801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 PROFESSIONAL DR",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793418",
"telephone_number": "240-447-6523",
"fax_number": "240-767-6058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 PROFESSIONAL DR",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793418",
"telephone_number": "240-447-6523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY REHAB CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-26",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "SIZHU",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-447-6523",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MD",
"license": "25428",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND BOARD OF PHYSICAL THERAPY",
"identifier": "25428",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.