Individual provider Active NPI

Nils-Otto Jaasko, PT, DPT, ATC

  • Physical Therapist
  • Estero, FL
National Provider Identifier
1467119206
Registry record updated Nov 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36010 Issued in FL
Practice address
9119 Estero River Cir
Estero, FL 33928-4416
Phone
(239) 324-6824
NPI assigned
Nov 28, 2021
Last updated
Nov 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 36010 FL Primary

Addresses

Primary practice location

9119 Estero River Cir
Estero, FL 33928-4416

Mailing address

24600 S Tamiami TRL Ste 212
Bonita Springs, FL 34134-7023
Phone (239) 324-6824

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36010FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638057600000",
    "number": "1467119206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 S TAMIAMI TRL STE 212",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347023",
            "telephone_number": "239-324-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 ESTERO RIVER CIR",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339284416",
            "telephone_number": "239-324-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAASKO",
        "first_name": "NILS-OTTO",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-28",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "36010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.