Healthcare Provider Details

I. General information

NPI: 1013346832
Provider Name (Legal Business Name): SYNERGY FITNESS AND WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2013
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6115 ESTATE SMITH BAY UNIT 5
ST THOMAS VI
00802-1330
US

IV. Provider business mailing address

6115 ESTATE SMITH BAY UNIT 5
ST THOMAS VI
00802-1330
US

V. Phone/Fax

Practice location:
  • Phone: 340-714-2348
  • Fax:
Mailing address:
  • Phone: 340-714-2348
  • Fax: 833-205-1003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BONNIE J O'ROURKE-BARR
Title or Position: OWNER
Credential: PT
Phone: 340-714-2348