Antonette Nery Garrovillas, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

025372-1 Issued in NY

Practice address

27 Scenic Drive
Apt C
Croton on Hudson, NY 10520

Phone

(646) 541-5125

NPI assigned

Oct 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Antonette Bolus Nery Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1861645533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SCENIC DR APT C",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105201823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SCENIC DRIVE",
            "address_2": "APT C",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "10520",
            "telephone_number": "646-541-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARROVILLAS",
        "first_name": "ANTONETTE",
        "middle_name": "NERY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "025372-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONETTE",
            "last_name": "NERY",
            "middle_name": "BOLUS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hsin-Wei Fu, PHARM.D.
• Gregory P Gaglioti, OD
• Kristin M. Gallagher, PT
• Yan Ling Gao, MD
• Tommy John Garcia, LPMHC
• Jefferson Garcia Garrovillas, PT
• Dennis Gartner, PHARMACIST
• Renee Barbara Gaska, D.M.D.
• Nicole Elizabeth Gerosa, PHARM D
• Amanda Giacquinta

• Pediatric Physical Therapist in Croton on Hudson, NY
• Providers in Croton on Hudson, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.