MEDICARE: SYNERGY HOME PHYSICAL THERAPY P.C

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	225100000X	Physical Therapist	PT41341	CA

General Provider Information

NPI Number	:	1316473986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNERGY HOME PHYSICAL THERAPY P.C

Provider Business Mailing Address
First Line	:	17824 PARTHENIA ST
Second Line	:
City	:	SHERWOOD FOREST
State	:	CA
Zip	:	91325-3146
Country	:	US
Telephone Number	:	323-899-0283
Fax Number	:	747-234-0081

Provider Business Practice Location Address
First Line	:	17824 PARTHENIA ST
Second Line	:
City	:	SHERWOOD FOREST
State	:	CA
Zip	:	91325-3146
Country	:	US
Telephone Number	:	323-899-0283
Fax Number	:	747-234-0081

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALEXANDER TOKAR
Credential	:	DPT
Telephone Number	:	323-899-0283

Provider Enumeration Date	:	05/02/2017
Last Update Date	:	11/29/2023

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