Synergy Physical Therapy, LTD

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SYNERGY PHYSICAL THERAPY, LTD

Practice address

1216 American Way
Suite 102
Libertyville, IL 60048-3938

Phone

(847) 680-1216

Fax

(847) 680-1209

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Richard A Hartmann, PT, ATC

Title

Owner

Phone

(847) 680-1216

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1942217047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 AMERICAN WAY",
            "address_2": "SUITE 102",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483938",
            "telephone_number": "847-680-1216",
            "fax_number": "847-680-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 AMERICAN WAY",
            "address_2": "SUITE 102",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483938",
            "telephone_number": "847-680-1216",
            "fax_number": "847-680-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY PHYSICAL THERAPY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "HARTMANN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-680-1216",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayal M Swaminathan
• Christina Anne Swanson, M.D.
• Ellen J Swiderski, M.S CCC-SLP
• Sadia Syed, M.D.
• Beth Anne Sylvester, MD
• Maria Anne Szafranski
• Stanford Tack, MD
• Rami K Taha, M.D.
• Leo Taiberg, MD
• Stamatios Taktikos

• Physical Therapy Clinic/Center in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.