Jose Luis Dejesus, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11763 Issued in NC

Practice address

122 Branchwood Shopping Ctr
Jacksonville, NC 28546-5800

Phone

(910) 938-7555

Fax

(910) 938-7544

NPI assigned

Aug 8, 2008

Last updated

Aug 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Champion Physical Therapy LLCGroup PAC ID 6800985417, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Champion Physical Therapy LLC

  • Physical Therapist
  • Cumming, GA
  • NPI 1053509299
  Medicare reassignment Care Compare group NPD
• Greenville Peak Performance Sports & Physical Therapy, LLC

  • Physical Therapist
  • Winterville, NC
  • NPI 1962603266
  NPD (past)
• Havelock Peak Performance Sports & Physical Therapy, LLC

  • Physical Therapist
  • Havelock, NC
  • NPI 1588623847
  NPD (past)
• Jacksonville Peak Performance Sports & Physical Therapy, L.L.C.

  • Specialist
  • Jacksonville, NC
  • NPI 1164482402
  NPD (past)
• Peak Performance Sports and Physical Therapy, LLC

  • Physical Therapist
  • New Bern, NC
  • NPI 1194714063
  NPD (past)
• Sportscare Physical Therapy Inc

  • Physical Therapist
  • Suwanee, GA
  • NPI 1962459883
  NPD (past)

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1114173242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12909",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285612909",
            "telephone_number": "910-938-7555",
            "fax_number": "910-938-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BRANCHWOOD SHOPPING CTR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465800",
            "telephone_number": "910-938-7555",
            "fax_number": "910-938-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Dayer, MD
• Melissa Deal
• Holly Lauren Deaver, PA-C
• Jennifer Debastiani
• Charles Aaron Deigert, DDS
• Del Mar Support Services LLC (Del Mar Center for Behavioral Health)
• Brandon Balisacan Dela Cruz, IDC
• Ada Delcastillo, LCSWA
• Joshua Deleone
• Justin Spencer Delew

• Physical Therapist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.