IndividualActive
Jonathan Carroll
NPI 1740122290 · Geriatric Physical Therapist · Goshen, NY
Provider details
- NPI number
- 1740122290
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 055726 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2 Glenmere Cove Rd
Goshen, NY 10924-6059
Phone: (845) 862-5700
Approximate (ZIP-level) locationGet directions
Mailing address
10 Hoffman Ct
Campbell Hall, NY 10916-2126
Registry dates
- Enumerated
- 2026-04-06
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.