Provider Demographics
NPI:1487022778
Name:SYNERGEX PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:SYNERGEX PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GAURI
Authorized Official - Middle Name:
Authorized Official - Last Name:SABNIS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MS, OCS, MDT
Authorized Official - Phone:609-619-5176
Mailing Address - Street 1:404 HARVEST LN
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08852-1946
Mailing Address - Country:US
Mailing Address - Phone:908-309-8462
Mailing Address - Fax:
Practice Address - Street 1:2525 US HIGHWAY 130
Practice Address - Street 2:SUITE D1
Practice Address - City:CRANBURY
Practice Address - State:NJ
Practice Address - Zip Code:08512-3513
Practice Address - Country:US
Practice Address - Phone:609-619-5176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA012137002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty