| Synergy Therapeutic Group | |
|
412 S 34th St Ste 201, Mount Vernon, IL 62864-6021 | |
| (618) 244-2213 | |
| (618) 244-2119 |
| Full Name | Synergy Therapeutic Group |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 412 S 34th St Ste 201, Mount Vernon, 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 412 S 34th St Ste 201, Mount Vernon, IL 62864-6021 Ph: (618) 244-2213 | Synergy Therapeutic Group 412 S 34th St Ste 201, Mount Vernon, IL 62864-6021 Ph: (618) 244-2213 |
Mary L. Stedelin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 Zachery Dr, Mount Vernon, IL 62864 Phone: 618-204-5497 Fax: 618-204-5487 | |
Terri S Garrett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 Zachery Dr, Mount Vernon, IL 62864 Phone: 618-204-5497 | |
Mrs. Cheryl Jeanne Uy Rushing, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-241-8595 Fax: 618-241-8759 | |
James M Mulvaney, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1007 S 42nd St, Suite 5, Mount Vernon, IL 62864 Phone: 618-244-1163 Fax: 618-244-1522 | |
Hayden Klockenga, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 | |
Mrs. Susan Christine Portner, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-8887 Fax: 618-244-5537 | |
Mrs. Stephanie Schaubert, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 Fax: 618-242-2551 |