Provider Demographics
NPI:1487944690
Name:SYNAPSE PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:SYNAPSE PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MESA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:831-713-7457
Mailing Address - Street 1:4401 CAPITOLA RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CAPITOLA
Mailing Address - State:CA
Mailing Address - Zip Code:95010-3572
Mailing Address - Country:US
Mailing Address - Phone:831-295-8231
Mailing Address - Fax:831-621-4701
Practice Address - Street 1:4401 CAPITOLA RD
Practice Address - Street 2:SUITE 1
Practice Address - City:CAPITOLA
Practice Address - State:CA
Practice Address - Zip Code:95010-3572
Practice Address - Country:US
Practice Address - Phone:831-295-8231
Practice Address - Fax:831-621-4701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-10
Last Update Date:2011-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurologyGroup - Multi-Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty