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

Shannon Leora Jessup

Individual provider Physical Therapist · NPI 1710869037

Shannon Leora Jessup is a Physical Therapist in Private Practice in Jacksonville Beach, Florida. Qualified in 2025, 1 year ago. Practices with Concierge Physio LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

708 3rd St N
Jacksonville Beach, FL 32250-7149
Phone: (904) 822-4622
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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 PTT43388 (FL)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1710869037
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 25, 2025
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Concierge Physio Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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