Healthcare Provider Details

I. General information

NPI: 1982901708
Provider Name (Legal Business Name): SYNERGY PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2011
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 CARLON DRIVE
NORTHAMPTON MA
01060-2374
US

IV. Provider business mailing address

39 CARLON DRIVE
NORTHAMPTON MA
01060-2374
US

V. Phone/Fax

Practice location:
  • Phone: 413-727-3315
  • Fax: 413-727-3316
Mailing address:
  • Phone: 413-727-3315
  • Fax: 413-727-3316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number18949
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES DONALD LYONS
Title or Position: PT/OWNER
Credential: P.T.
Phone: 413-727-3315