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

Mr. Giancarlo De Jesus, PT

Individual provider Physical Therapist · NPI 1700275690

Mr. Giancarlo De Jesus, PT is a Physical Therapist in Private Practice in Boerne, Texas. Qualified in 2004, 22 years ago. Practices with Synergy Care Southeast LLC, a 199-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
22
Licensed in
TX
In the registry since
2015
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

112 Mustang Run
Boerne, TX 78006-1953
Phone: (516) 506-8273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1193940 (TX)

Record details

NPI number1700275690
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 14, 2015
Last updated in NPPESJanuary 14, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Synergy Care Southeast Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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