NPIMap

Organization Active NPI

Body Synergy Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Pasadena, CA
National Provider Identifier
1891872487
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BODY SYNERGY PHYSICAL THERAPY, INC.
Practice address
600 S Lake Ave Ste 306
Pasadena, CA 91106-3955
Phone
(626) 356-4948
Fax
(626) 356-4964
NPI assigned
Nov 1, 2006
Last updated
Aug 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Tien Tran
Title
Cfo
Phone
(714) 334-9998

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary
Physical Therapist 225100000X PT 20048 CA

Addresses

Primary practice location

600 S Lake Ave Ste 306
Pasadena, CA 91106-3955

Mailing address

PO Box 6609
Orange, CA 92863-6609

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060404000793 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608884416 Receives reassigned benefits from 8 practitioners
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

1737 Colorado Blvd
Los Angeles, CA 90041
Phone (323) 255-9006

265 N Euclid Ave
Ste 202
Pasadena, CA 91101
Phone (626) 356-4948

600 S Lake Ave
Ste 306
Pasadena, CA 91106
Phone (626) 356-4948

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1891872487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6609",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928636609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S LAKE AVE STE 306",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063955",
            "telephone_number": "626-356-4948",
            "fax_number": "626-356-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY SYNERGY PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TIEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-334-9998"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 20048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.