Synergy Manual Therapy Solutions LLC
NPI 1467289868ActiveOrganization· Physical Therapist· Yukon, OK
Physical Therapist in Yukon, Oklahoma, registered in NPPES in September 2024. The authorized official on file is Shawn G. Wallace, PT, DPT, Physical Therapist. Enrolled in Medicare as dme supplier - independently-practicing physical therapist and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1467289868 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2024 |
| Last updated in NPPES | Jan 21, 2026 |
| Certified by provider | Jan 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Independently-Practicing Physical Therapist (OK); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (OK) |
|---|
Other Physical Therapist providers in Yukon
- 1063656940
- 1184001067
- 1043745680
- 1417367624
- 1861812000
- 1962829523
- 1659590628
- 1629449525
- 1518511856
- 1487942769
- 1619088259
- 1023786167