Kaley Janee Marcinak

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-31171 Issued in AZ

Practice address

9941 N 95TH St Ste 102
Scottsdale, AZ 85258-4610

Phone

(480) 767-0794

Fax

(480) 767-0797

NPI assigned

Aug 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Physical Therapy and Performance Health, LLCGroup PAC ID 7416023494, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Synergy Physical Therapy & Performance Health, LLC

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1952576928

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1982217667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9941 N 95TH ST",
            "address_2": "STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584610",
            "telephone_number": "480-767-0794",
            "fax_number": "480-767-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9941 N 95TH ST STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584610",
            "telephone_number": "480-767-0794",
            "fax_number": "480-767-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINAK",
        "first_name": "KALEY",
        "middle_name": "JANEE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE LICENSE NUMBER",
            "identifier": "LPT-31171",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@synergyptph.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9941 N 95th St Ste 102",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852584610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittney Lee March, BA
• Virginia Marie March
• Lauren Marchal, MAS, LAMFT
• Carol Serena Marciano, CRNFA
• Frederick F Marciano, MD PHD
• Deborah Ann Marco, C.N.A.
• Sean Allan Marco, M.D.
• Francois Marcotte, M.D.
• Amanda Marcum, MT-BC
• Barry Marcus, M.D.

• Physical Therapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.