NPIMap

Organization Active NPI

Synergy Physical Therapy and Wellness, LLC

  • Physical Therapy Clinic/Center
  • Ashtabula, OH
National Provider Identifier
1942450622
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SYNERGY PHYSICAL THERAPY AND WELLNESS, LLC
Practice address
4510 Collins Blvd
Suite 4
Ashtabula, OH 44004-6954
Phone
(440) 997-0014
Fax
(440) 998-7032
NPI assigned
Sep 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Dr. Cara L Hawn
Title
Owner/Physical Therapist
Phone
(440) 997-0014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X OH Primary

Addresses

Primary practice location

4510 Collins Blvd
Suite 4
Ashtabula, OH 44004-6954

Mailing address

4510 Collins Blvd
Suite 4
Ashtabula, OH 44004-6954
Phone (440) 997-0014

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081204000571 OH Part B Supplier - Clinic/Group Practice 2365503620 Receives reassigned benefits from 8 practitioners
Practice locations: Ashtabula, OH; Berea, OH; South Euclid, OH; Willoughby Hills, OH

National Provider Directory

National Provider Directory

Locations

3705 State Rd
Ste 102
Ashtabula, OH 44004
Phone (440) 260-7670

4510 Collins Blvd
Ste 4
Ashtabula, OH 44004
Phone (440) 992-9777

201 Front St
Berea, OH 44017
Phone (440) 260-7670

201 Front St
Ste 104
Berea, OH 44017
Phone (440) 260-7670

14077 Cedar Rd
South Euclid, OH 44118
Phone (216) 223-8761

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": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1942450622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 COLLINS BLVD",
            "address_2": "SUITE 4",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046954",
            "telephone_number": "440-997-0014",
            "fax_number": "440-998-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 COLLINS BLVD",
            "address_2": "SUITE 4",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046954",
            "telephone_number": "440-997-0014",
            "fax_number": "440-998-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "HAWN",
        "authorized_official_first_name": "CARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "440-997-0014",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.