NPIMap

Organization Active NPI

Synergy Manual Physical Therapy, PC

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1902032998
Registry record updated Oct 31, 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
600 S 21St St
Suite 130
Colorado Springs, CO 80904-3702
Phone
(719) 634-1110
Fax
(719) 634-1112
NPI assigned
Jun 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 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

600 S 21St St
Suite 130
Colorado Springs, CO 80904-3702

Mailing address

2375 Telstar Dr Ste 115
Colorado Springs, CO 80920-1029
Phone (719) 634-1110

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
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

3333 S Wadsworth Blvd
Unit 212
Lakewood, CO 80227
Phone (303) 757-7004

Practitioners & affiliated clinicians

Practitioners 12

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": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604102400000",
    "number": "1902032998",
    "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": "719-634-1110",
            "fax_number": "719-634-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 21ST ST",
            "address_2": "SUITE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043702",
            "telephone_number": "719-634-1110",
            "fax_number": "719-634-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY MANUAL PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "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 Oct 31, 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.