Provider Demographics
NPI:1780604611
Name:SYNERGY THERAPIES LLC
Entity type:Organization
Organization Name:SYNERGY THERAPIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:HANKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-795-8944
Mailing Address - Street 1:19049 VALLEY VIEW PARKWAY
Mailing Address - Street 2:STE H
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055
Mailing Address - Country:US
Mailing Address - Phone:816-795-8944
Mailing Address - Fax:816-795-8633
Practice Address - Street 1:19049 E VALLEY VIEW PKWY
Practice Address - Street 2:STE H
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-7026
Practice Address - Country:US
Practice Address - Phone:816-795-8944
Practice Address - Fax:816-795-8633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO266648Medicare Oscar/Certification