Healthcare Provider Details

I. General information

NPI: 1346190444
Provider Name (Legal Business Name): SYNERGY REHAB SCOTTSBLUFF LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 E 20TH PL STE 100A
SCOTTSBLUFF NE
69361-2874
US

IV. Provider business mailing address

PO BOX 1244
MOUNTAIN VIEW WY
82939-1244
US

V. Phone/Fax

Practice location:
  • Phone: 307-780-8331
  • Fax:
Mailing address:
  • Phone: 307-780-8331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DAREN MARTIN
Title or Position: MANAGING MEMBER
Credential: MPT
Phone: 307-780-8331