SYNERGY HEALTHCARE CORP
NPI 1205101193
Clinic/Center - Physical Therapy in Fairhaven, MA
About Synergy Healthcare Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SYNERGY HEALTHCARE CORP (NPI 1205101193) is a healthcare organization registered as a physical therapy in Fairhaven, Massachusetts and active in the NPI registry since March 2012. The organization lists Timothy S Pedersen, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Synergy Healthcare Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Synergy Healthcare Corp, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Synergy Healthcare Corp's NPI number?
The NPI number for Synergy Healthcare Corp is 1205101193. It was assigned to this organization in the NPPES registry on March 12, 2012.
Where is Synergy Healthcare Corp located?
Synergy Healthcare Corp is located at 147B Washington St, Fairhaven, MA 02719. The listed phone number is (508) 991-2918.
What is Synergy Healthcare Corp's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Synergy Healthcare Corp enrolled in Medicare?
Yes. Synergy Healthcare Corp is registered in the Medicare PECOS enrollment system.
When is Synergy Healthcare Corp's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Massachusetts, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Synergy Healthcare Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Synergy Healthcare Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Synergy Healthcare Corp accept?
Health plans from Anthem Blue Cross and Blue Shield list Synergy Healthcare Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Synergy Healthcare Corp was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Synergy Healthcare Corp · NPI 1205101193
Physical Therapy organization in Fairhaven, Massachusetts. Organization record, active in the CMS NPPES registry since March 12, 2012.
## Identity
- **NPI:** 1205101193 (Entity type: Organization)
- **Enumerated:** March 12, 2012
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Timothy Pedersen, PRESIDENT
## Practice location
- **Address:** 147B WASHINGTON ST, Fairhaven, MA 02719-4013
- **Phone:** (508) 991-2918 · **Fax:** (508) 994-3068
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Massachusetts, Physical/Occupational Therapy Group in Private Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1205101193) · Data from the CMS NPPES public registry.