| Synergy Fitness And Wellness Center Llc | |
|
6115 Estate Smith Bay Ste 334-335 St Thomas VI 00802-1324 | |
| (340) 714-2348 | |
| Not Available |
| Full Name | Synergy Fitness And Wellness Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6115 Estate Smith Bay Ste 334-335, St Thomas, Virgin Island |
| Authorized Official Name and Position | Bonnie O'rourke-barr (OWNER) |
| Authorized Official Contact | 3407142348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergy Fitness And Wellness Center Llc 6115 Estate Smith Bay Unit 5 St Thomas VI 00802-1330 Ph: (340) 714-2348 | Synergy Fitness And Wellness Center Llc 6115 Estate Smith Bay Ste 334-335 St Thomas VI 00802-1324 Ph: (340) 714-2348 |
| NPI Number | 1013346832 |
|---|---|
| Provider Enumeration Date | 11/02/2013 |
| Last Update Date | 03/14/2022 |
| Certification Date | 03/14/2022 |
| Medicare PECOS PAC ID | 2365663267 |
|---|---|
| Medicare Enrollment ID | O20141017000953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013346832 | NPI | - | NPPES |
| Provider Name | Bonnie J Orourke-barr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124058128 PECOS PAC ID: 5698923860 Enrollment ID: I20130114000035 |
| Provider Name | Ayla Shaw |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518401256 PECOS PAC ID: 9830452101 Enrollment ID: I20180419000923 |
| Provider Name | Leah Crawford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073054888 PECOS PAC ID: 0345519377 Enrollment ID: I20190326001143 |
| Provider Name | Erica Leigh Benson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700371903 PECOS PAC ID: 5496095556 Enrollment ID: I20190327002334 |
| Provider Name | Christine M Mcallister |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669019865 PECOS PAC ID: 8123456605 Enrollment ID: I20200316001907 |
| Provider Name | Michelle Mcgowan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528598414 PECOS PAC ID: 0840620340 Enrollment ID: I20200424000567 |
| Provider Name | Alycia K Berg |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073619003 PECOS PAC ID: 6305268533 Enrollment ID: I20200617000756 |
| Provider Name | Garrett D Gibson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710504295 PECOS PAC ID: 2769802925 Enrollment ID: I20201009000822 |
| Provider Name | Magen Freeman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730654963 PECOS PAC ID: 4385053263 Enrollment ID: I20210505001235 |
| Provider Name | Holly Michelle David |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093272403 PECOS PAC ID: 3375930472 Enrollment ID: I20220419002659 |
| Provider Name | Audrey Barrett |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477023885 PECOS PAC ID: 4981084902 Enrollment ID: I20220708001190 |
| Provider Name | Derron K.g. Ambrose |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164861233 PECOS PAC ID: 4183009673 Enrollment ID: I20220920001622 |
| Provider Name | Annabelle Hope |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528789823 PECOS PAC ID: 5597113993 Enrollment ID: I20231125000278 |
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