Provider Demographics
NPI:1629742622
Name:JOCSON PHYSICAL THERAPY & TRAINING, LLC
Entity Type:Organization
Organization Name:JOCSON PHYSICAL THERAPY & TRAINING, LLC
Other - Org Name:JOCSON PHYSICAL THERAPY & TRAINING, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOCSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:718-219-5560
Mailing Address - Street 1:4005 BEACON RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-5343
Mailing Address - Country:US
Mailing Address - Phone:718-219-5560
Mailing Address - Fax:
Practice Address - Street 1:1117 4TH ST
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-3001
Practice Address - Country:US
Practice Address - Phone:352-404-7676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-03
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Single Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty