SYNERGY SPORTS MEDICINE PLLC
NPI 1609733526
Clinic/Center - Medical Specialty in Beverly, MA

Active since January 05, 2026CLIA 22D2339064 · Waiver
48 DUNHAM RIDGE ROAD, SUITE 4350, BEVERLY, MA 01915(315) 415-8600 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 19, 2026, Jan 5, 2026 (2 updates tracked since 2026).

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

NPI1609733526
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSYNERGY SPORTS MEDICINE PLLC
Location Address48 DUNHAM RIDGE ROAD, SUITE 4350Beverly, MA 01915
Mailing Address48 Dunham Ridge Road, Suite 4350Beverly, MA 01915 · (978) 867-0544 · Fax (978) 867-0543
Organization SubpartNo
Authorized OfficialThomas MulroyOwner · (315) 415-8600
Enumeration DateJanuary 5, 2026
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
NPI 1609733526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

48 DUNHAM RIDGE ROAD, Beverly, MA 01915

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, MA
Active · expires Feb 22, 2028
CLIA Number22D2339064
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorThomas J. Mulroy
Laboratory Phone(978) 867-0544
Laboratory LocationSynergy Sports Medicine PLLC48 Dunham Ridge Road Suite 4350, Beverly, MA 01915
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 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.

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 with the weekly NPPES data releases published by CMS.