Healthcare Provider Details

I. General information

NPI: 1477465904
Provider Name (Legal Business Name): SYNERGY PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2447 47TH CT STE F
MERIDIAN MS
39305-2686
US

IV. Provider business mailing address

2447 47TH CT STE F
MERIDIAN MS
39305-2686
US

V. Phone/Fax

Practice location:
  • Phone: 601-282-5264
  • Fax: 601-286-5166
Mailing address:
  • Phone: 601-282-5264
  • Fax: 601-286-5166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: COREY IRBY
Title or Position: OWNER
Credential:
Phone: 601-513-9135