Synergy Physical Therapy and Wellness

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

015851 Issued in NY

Legal business name

SYNERGY PHYSICAL THERAPY AND WELLNESS

Practice address

400 Route 211 E Ste 12
Middletown, NY 10940-2123

Phone

(201) 957-5864

NPI assigned

Nov 9, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Kishore Kanduri, PT

Title

Physical Therapist

Phone

(201) 957-5864

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1922471226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROUTE 211 EAST, SUITE 12",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "201-957-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROUTE 211 E STE 12",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402123",
            "telephone_number": "201-957-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "KANDURI",
        "authorized_official_first_name": "KISHORE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "201-957-5864",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NY",
            "license": "015851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1740226281",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Gail Swiat, PT
• Swiftaid Transport LLC
• Rafeel O Syed, MD
• Tausif Syed, MD
• Synergy Physical Therapy and Wellness
• James Francis Szigethy, R.PH.
• Priyanka Tadepalli, CPNP-PC
• Syeda Tahera, M.D.
• Astrid J Tangarife
• Tara L. Montemurro, Licensed Behavior Analyst, P.C

• Rehabilitation Chiropractor in Middletown, NY
• Providers in Middletown, NY by specialty
• Rehabilitation Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.