Synergy Spine Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SYNERGY SPINE THERAPY INC

Practice address

10305 SW Park Way
Ste. 201
Portland, OR 97225-5011

Phone

(503) 307-5762

NPI assigned

Nov 6, 2015

Last updated

Nov 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lee R Oconnor, PT

Title

Owner

Phone

(503) 307-5762

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1982077335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10305 SW PARK WAY",
            "address_2": "STE. 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255011",
            "telephone_number": "503-307-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 SW PARK WAY",
            "address_2": "STE. 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255011",
            "telephone_number": "503-307-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY SPINE THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-307-5762",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Symmes, PA
• Deborah Ruth Syna, M.D.
• Synaptic Institute Inc.
• Synaptic Integrative Care LLC
• Synergy Autism Center, LLC
• Synergy Women's Health Care
• Synergy Women's Health Care, LLC
• Synergy Women's Health Care, LLC
• Candis Synsvoll, PT
• Andrew P Sype, D.M.D.

• Physical Therapy Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.