Healthcare Provider Details

I. General information

NPI: 1821984923
Provider Name (Legal Business Name): SYNERGY ORTHOPEDICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2090 W ARLINGTON BLVD STE F
GREENVILLE NC
27834-5727
US

IV. Provider business mailing address

920 GERMANTOWN PIKE STE 210
PLYMOUTH MEETING PA
19462-7401
US

V. Phone/Fax

Practice location:
  • Phone: 252-576-1300
  • Fax:
Mailing address:
  • Phone: 610-292-8400
  • Fax: 610-471-0502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JOHN LAROCCO
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 610-292-8400