Organization Active NPI

O'Lessker Collective

Doing business as Onyx Physical Therapy and Performance

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1255912556
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
O'LESSKER COLLECTIVE
Doing business as
Onyx Physical Therapy and Performance
Practice address
2608 Dupont Ave
Jacksonville, FL 32217-2633
Phone
(904) 655-4596
Fax
(904) 539-5645
NPI assigned
Apr 19, 2021
Last updated
Apr 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Christopher O'Lessker, DPT
Title
Registered Agent/Owner
Phone
(904) 655-4596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2608 Dupont Ave
Jacksonville, FL 32217-2633

Mailing address

2608 Dupont Ave
Jacksonville, FL 32217-2633
Phone (904) 655-4596

Other names 1

  • Onyx Physical Therapy and Performance Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1255912556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 DUPONT AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172633",
            "telephone_number": "904-655-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 DUPONT AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172633",
            "telephone_number": "904-655-4596",
            "fax_number": "904-539-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'LESSKER COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "O'LESSKER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "REGISTERED AGENT/OWNER",
        "authorized_official_telephone_number": "904-655-4596",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onyx Physical Therapy and Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.