Synergy Physical Therapy – Physical Therapist, NPI 1669552873
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Synergy Physical Therapy
1710 W Horizon Ridge Pkwy Ste 110
Henderson, NV 890124901
Phone: (702) 489-9217
Fax: (702) 489-9134
Type: Location
4730 Blue Diamond Rd Ste 150
Las Vegas, NV 891397660
Phone: (702) 909-6893
Fax: (702) 912-0355
Type: Location
2870 Bicentennial Pkwy Ste 100
Henderson, NV 890444481
Phone: (702) 483-3669
Fax: (702) 483-3604
Type: Location
1710 W HORIZON RIDGE PKWY STE 110
HENDERSON, NV 890124901
Phone: (702) 489-9217
Fax: (702) 489-9134
Type: Mailing
11201, South Eastern Avenue, Sunridge Heights, Henderson, Clark County, Nevada, 89052, United States
STE 220
HENDERSON, NV 890526201
Phone: (702) 614-0324
Fax: (702) 341-0324
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-01-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-11-30 (190 days ago).
Enrollment records
1
Earliest due date
2025-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040107000054 | O | Clinic/Group Practice | NV | 2025-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89012)
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