Synergy Physical Therapy and Rehabilitation, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SYNERGY PHYSICAL THERAPY AND REHABILITATION, LLC

Practice address

3494A Summerhill Rd
Texarkana, TX 75503-3560

Phone

(870) 571-4002

Fax

(903) 306-2570

NPI assigned

May 22, 2019

Organization subpart

No

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

Authorized official

Name

Raffy Seares, DPTNPI 1194226100

Title

Owner

Phone

(870) 571-4002

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raffy Yu Seares, PT, DPT

  • Physical Therapist
  • Texarkana, TX
  • NPI 1194226100
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1942867247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3494A SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033560",
            "telephone_number": "870-571-4002",
            "fax_number": "903-306-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3494A SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033560",
            "telephone_number": "870-571-4002",
            "fax_number": "903-306-2570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 N McCoy Blvd",
            "address_purpose": "LOCATION",
            "city": "New Boston",
            "state": "TX",
            "postal_code": "755702307",
            "country_code": "US",
            "telephone_number": "903-628-3260",
            "fax_number": "903-628-0397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYNERGY PHYSICAL THERAPY AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "SEARES",
        "authorized_official_first_name": "RAFFY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-571-4002",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401273401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Jane Sutherland, FNP-C
• Mark Edward Sutherland, M.D.
• Ashli Kay Sutton, LPC
• Kimberly Lynne Sutton, FNP
• Swiftlifttransport
• Asongtia Taku, PHARMD
• Ebot Ndemaze Taku, PHARMACIST
• Joshua Nelson Talley, D.M.D
• Rodger Dale Talley, DDS
• Tammie Flanagan Luthringer Physical Therapy and Wellness, LLC

• Physical Therapist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.