Individual provider Active NPI

Michael Ernest Jocson, P.T.

  • Orthopedic Physical Therapist
  • Clermont, FL
National Provider Identifier
1316922297
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT36300 Issued in FL
Practice address
1119 4TH St
Clermont, FL 34711-3001
Phone
(718) 219-5560
Fax
(718) 260-6124
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16367 NY
Geriatric Physical Therapist 2251G0304X 16367 NY
Sports Physical Therapist 2251S0007X 16367 NY
Orthopedic Physical Therapist 2251X0800X 16367 NY
Orthopedic Physical Therapist 2251X0800X PT36300 FL Primary

Addresses

Primary practice location

1119 4TH St
Clermont, FL 34711-3001

Mailing address

4005 Beacon Ridge Way
Clermont, FL 34711-5343
Phone (718) 219-5560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16367NYMDPhysical Therapist
PT36300FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jocson Physical Therapy & Training, LLC Physical Therapist CurrentSince Apr 12, 2022 Accepting new patients

Locations

1117 4th St
Clermont, FL 34711
Phone (352) 404-7676

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1316922297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 BEACON RIDGE WAY",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115343",
            "telephone_number": "718-219-5560",
            "fax_number": "718-260-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 4TH ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113001",
            "telephone_number": "718-219-5560",
            "fax_number": "718-260-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOCSON",
        "first_name": "MICHAEL",
        "middle_name": "ERNEST",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "16367",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "16367",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "16367",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "16367",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT36300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.