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

Mr. Michael R Christopherson

Individual provider Occupational Therapy Assistant · NPI 1164704151

Mr. Michael R Christopherson is an Occupational Therapy Assistant in Jacksonville Beach, Florida. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

333 1st St N Ste 200
Jacksonville Beach, FL 32250-6945
Phone: (866) 301-5038
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2105 (CA)

Record details

NPI number1164704151
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 15, 2011
Last updated in NPPESSeptember 15, 2011
Mailing address333 1st St N, Suite 200, Jacksonville Beach, FL 32250-6945

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