SYNERGY SPORTS MEDICINE PLLC
NPI 1609733526
Clinic/Center - Medical Specialty in Beverly, MA
About Synergy Sports Medicine Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SYNERGY SPORTS MEDICINE PLLC (NPI 1609733526) is a healthcare organization registered as a medical specialty in Beverly, Massachusetts and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through February 22, 2028 and lists Thomas Mulroy, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Synergy Sports Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Synergy Sports Medicine PLLC, 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 (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 22D2339064
Synergy Sports Medicine PLLC · Beverly, MAFrequently 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 Sports Medicine PLLC's NPI number?
The NPI number for Synergy Sports Medicine PLLC is 1609733526. It was assigned to this organization in the NPPES registry on January 5, 2026.
Where is Synergy Sports Medicine PLLC located?
Synergy Sports Medicine PLLC is located at 48 Dunham Ridge Road Suite 4350, Beverly, MA 01915. The listed phone number is (315) 415-8600.
What is Synergy Sports Medicine PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Synergy Sports Medicine PLLC enrolled in Medicare?
Yes. Synergy Sports Medicine PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Synergy Sports Medicine PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Synergy Sports Medicine PLLC, in Family Practice and Physical Therapist in Private Practice. 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.
Does Synergy Sports Medicine PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 22D2339064) is associated with this NPI, valid through February 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Synergy Sports Medicine PLLC was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 Sports Medicine Pllc · NPI 1609733526
Medical Specialty organization in Beverly, Massachusetts. Organization record, active in the CMS NPPES registry since January 5, 2026.
## Identity
- **NPI:** 1609733526 (Entity type: Organization)
- **Enumerated:** January 5, 2026
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Thomas Mulroy, OWNER
## Practice location
- **Address:** 48 DUNHAM RIDGE ROAD, SUITE 4350, Beverly, MA 01915
- **Phone:** (315) 415-8600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Physical Therapist in Private Practice (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 19, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609733526) · Data from the CMS NPPES public registry.