MEDICARE: SYNERGY TRUMANSBURG PHYSICAL THERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1225549801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNERGY TRUMANSBURG PHYSICAL THERAPY PLLC

Provider Business Mailing Address
First Line	:	203 E MAIN ST STE A
Second Line	:
City	:	TRUMANSBURG
State	:	NY
Zip	:	14886-8908
Country	:	US
Telephone Number	:	607-213-3300
Fax Number	:	607-270-1700

Provider Business Practice Location Address
First Line	:	203 E MAIN ST STE A
Second Line	:
City	:	TRUMANSBURG
State	:	NY
Zip	:	14886-8908
Country	:	US
Telephone Number	:	607-213-3300
Fax Number	:	607-213-3300

Authorized Official
Title or Position	:	OWNER
Name	:	COLLEEN ANN ROBINSON
Credential	:	DPT
Telephone Number	:	607-213-3300

Provider Enumeration Date	:	10/23/2017
Last Update Date	:	04/08/2026

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