Provider Demographics
NPI:1659040418
Name:JG THERAPY SERVICES INC
Entity Type:Organization
Organization Name:JG THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:J
Authorized Official - Last Name:GRAVIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-424-1592
Mailing Address - Street 1:6710 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2924
Mailing Address - Country:US
Mailing Address - Phone:305-906-3333
Mailing Address - Fax:
Practice Address - Street 1:6710 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2924
Practice Address - Country:US
Practice Address - Phone:305-906-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty