Gimbo Corre Physical Therapy Rehabilitation Services, PC.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GIMBO CORRE PHYSICAL THERAPY REHABILITATION SERVICES, PC.

Practice address

7708 Broadway
Elmhurst, NY 11373-1927

Phone

(347) 806-7706

NPI assigned

Dec 9, 2020

Organization subpart

No

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

Authorized official

Name

Gimbo John O Corre, PTNPI 1992216675

Title

Ceo

Phone

(347) 806-7706

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gimbo John Obfenda Corre, PT

  • Physical Therapist
  • Elmhurst, NY
  • NPI 1992216675
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1740886233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CLINTON RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115306340",
            "telephone_number": "347-806-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7708 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731927",
            "telephone_number": "347-806-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIMBO CORRE PHYSICAL THERAPY REHABILITATION SERVICES, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "CORRE",
        "authorized_official_first_name": "GIMBO JOHN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-806-7706",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gil Dechavez DDS PC
• Sadie Gilbertson
• Bal Krishan Gilja, MD
• Shanedeep Singh Gill, MD
• Allison Ann Gillespie, LCSW
• Felman Reroma Gingoyon
• Beth Yaffa Ginsburg, M.D.
• Julia Giordano, PSY.D.
• Mercedes Giordano
• Paola A Giraldo, RN, CNM

• Physical Therapy Clinic/Center in Elmhurst, NY
• Providers in Elmhurst, 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 May 11, 2021; 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.

Verify at the official NPI Registry.