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NPI Code Detail

MEDICARE: SYNAPTIC PEDIATRIC THERAPIES, LLC.

MEDICARE: SYNAPTIC PEDIATRIC THERAPIES, LLC.
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
1225XP0200XPediatric Occupational Therapist
2235Z00000XSpeech-Language Pathologist
3103T00000XPsychologist
4261QR0400XRehabilitation Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497110670
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYNAPTIC PEDIATRIC THERAPIES, LLC.
Provider Business Mailing Address
First Line : PO BOX 852647
Second Line :
City : RICHARDSON
State : TX
Zip : 75085-2647
Country : US
Telephone Number : 972-454-9309
Fax Number :
Provider Business Practice Location Address
First Line : 1410 E RENNER RD STE 111
Second Line :
City : RICHARDSON
State : TX
Zip : 75082-2227
Country : US
Telephone Number : 972-454-9309
Fax Number : 972-338-9378
Authorized Official
Title or Position : DIRECTOR
Name : MOHAMMAD ELASHI
Credential :
Telephone Number : 972-454-9309
Provider Enumeration Date : 12/15/2015
Last Update Date : 01/30/2026

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Directions to “SYNAPTIC PEDIATRIC THERAPIES, LLC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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