Organization Active NPI

Synergy Rehab Center LLC

  • Physical Therapy Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1831566801
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
25428 Issued in MD
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

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Dr. Sizhu Wang, DPTNPI 1366827966
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
25428OtherMDMARYLAND BOARD OF PHYSICAL THERAPY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151103000465 DC Part B Supplier - Clinic/Group Practice 5193033769 Receives reassigned benefits from 1 practitioner
Practice locations: Gaithersburg, MD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.