Active NPI
JG Therapy LLC
- Physical Therapist
- Amarillo, TX
National Provider Identifier
1104607316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- JG THERAPY LLC
- Practice address
- 2207 S Western St Ste 110
Amarillo, TX 79109-1572 - Phone
- (806) 718-5399
- Fax
- (806) 718-6399
- NPI assigned
- Oct 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerra Graves, DPT
- Title
- President
- Phone
- (505) 362-4769
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2207 S Western St Ste 110
Amarillo, TX 79109-1572
Mailing address
PO Box 32951
Amarillo, TX 79120-2951
Phone (806) 718-5399
Other names 1
- FYZICAL THERAPY & BALANCE CENTERS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2207 S Western St
Ste 110
Amarillo, TX 79109
Phone (806) 718-5399
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Amarillo, TX
- NPI 1699144683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747267200000",
"number": "1104607316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32951",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791202951",
"telephone_number": "806-718-5399",
"fax_number": "806-718-6399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2207 S WESTERN ST STE 110",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791091572",
"telephone_number": "806-718-5399",
"fax_number": "806-718-6399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JG THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-12",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A",
"authorized_official_last_name": "GRAVES",
"authorized_official_first_name": "JERRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "505-362-4769",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FYZICAL THERAPY & BALANCE CENTERS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "FYZICAL THERAPY & BALANCE CENTERS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.