Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jose Luis Dejesus, DPT

Individual provider Physical Therapist · NPI 1114173242

Jose Luis Dejesus, DPT is a Physical Therapist in Private Practice in Jacksonville, North Carolina. Qualified in 2008, 18 years ago. Practices with Champion Physical Therapy LLC, an 8-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
18
Licensed in
NC
In the registry since
2008
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

122 Branchwood Shopping Ctr
Jacksonville, NC 28546-5800
Phone: (910) 938-7555
Fax: (910) 938-7544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11763 (NC)

Record details

NPI number1114173242
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 8, 2008
Last updated in NPPESAugust 8, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Champion Physical Therapy Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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