G2 Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

G2 PHYSICAL THERAPY, PLLC

Practice address

10 Elm St
Cornwall, NY 12518-1485

Phone

(646) 479-9214

NPI assigned

Aug 11, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jefferson Garrovillas, PT, DPT

Title

Physical Therapist/Co-Owner

Phone

(646) 479-9214

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1528796059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125180467",
            "telephone_number": "646-479-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ELM ST",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181485",
            "telephone_number": "646-479-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G2 PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "GARROVILLAS",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/CO-OWNER",
        "authorized_official_telephone_number": "646-479-9214",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Rose Firebaugh, LMSW
• Focus Physical Therapy & Rehab
• Geoffrey R Friedlander, PMHNP, FNP
• Carolann Frances Furchi, PSY, D,
• G. S. Mehar Physician, P.C.
• Holly Beth Gigante, L.P.N.
• Jessica N. Greher, M.S./CCC-SLP
• Cindy Gue
• Sae Joon Hahm, M.D.
• Lore S Hannes, PH.D.

• Physical Therapy Clinic/Center in Cornwall, NY
• Providers in Cornwall, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.