| Synergy Therapeutic Group | |
|
1110 Cedar Ct, Carbondale, IL 62901-5300 | |
| (618) 243-7822 | |
| (618) 529-4560 |
| Full Name | Synergy Therapeutic Group |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1110 Cedar Ct, Carbondale, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659393411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Subrat Bahinipati |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518027044 PECOS PAC ID: 7214983659 Enrollment ID: I20050329000434 |
| Provider Name | Chandana Dash |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801957337 PECOS PAC ID: 7719905918 Enrollment ID: I20051109000328 |
| Mailing Address | Practice Location Address |
|---|---|
| Synergy Therapeutic Group 1110 Cedar Ct, Carbondale, IL 62901-5300 Ph: (618) 243-7822 | Synergy Therapeutic Group 1110 Cedar Ct, Carbondale, IL 62901-5300 Ph: (618) 243-7822 |
Dr. Steve Middleton, PT, DPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 S Glenview Dr, Carbondale, IL 62901 Phone: 618-559-8196 | |
Cody B Doerflein, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 214 W Freeman St, Carbondale, IL 62901 Phone: 812-491-1307 Fax: 618-549-0226 | |
Kristy Travis, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1237 E Main St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Damilola Jane Olatunbosun, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 E Walnut St Ste 1, Carbondale, IL 62901 Phone: 618-319-7540 Fax: 618-319-7542 | |
Marcel De Wit, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 E Walnut St Ste 1, Carbondale, IL 62901 Phone: 618-319-7540 | |
Madison P Meyer, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 E Walnut St Ste 1, Carbondale, IL 62901 Phone: 618-319-7540 Fax: 618-319-7542 | |
Mrs. Lorraine M Scimeca, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 W Jackson St, Suite Ll02, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0403 |