Christopher O'Lessker, PT, DPT
Physical Therapist in Jacksonville, FL. Individual provider (NPI-1).
NPI number1730667635
StatusActive
Last updated in NPPESApr 29, 2024
Details
- NPI
- 1730667635
- Entity type
- Individual (NPI-1)
- Name
- Christopher O'Lessker
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2018
- Certification date
- Apr 29, 2024
- Last updated
- Apr 29, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
12350 San Jose BlvdJacksonville, FL 32223-2800
Phone 904-618-3778
Mailing address
9759 San Jose Blvd Ste 4Jacksonville, FL 32257-5418
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