Synergist, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SYNERGIST, LLC

Doing business as

Synergist Physical Therapy and Performance

Practice address

1082 Cedar Cross Rd
Dubuque, IA 52003-7745

Phone

(563) 543-4049

NPI assigned

Jan 4, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin M Maiers, DPT

Title

Owner

Phone

(563) 543-4049

Specialties & licenses 1

Addresses

Other names 1

• Synergist Physical Therapy and Performance Doing business as

Locations

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1851864557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9498 GINGER DR",
            "city": "PEOSTA",
            "state": "IA",
            "postal_code": "520688088",
            "telephone_number": "563-543-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1082 CEDAR CROSS RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037745",
            "telephone_number": "563-543-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "MAIERS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-543-4049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergist Physical Therapy and Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.