Jose Luis Dejesus, DPT
NPI 1114173242ActiveIndividual· Physical Therapist· Jacksonville, NC
Physical Therapist (DPT) with Champion Physical Therapy LLC, practicing in Jacksonville, North Carolina. Medicare paid $45,898 for services to 124 patients in 2024.
Overview
| NPI | 1114173242 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Aug 8, 2008 |
| Last updated in NPPES | Aug 8, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11763 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 124 |
|---|---|
| Services billed | 2,141 across 11 procedure codes |
| Paid by Medicare | $45,898 |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Champion Physical Therapy LLCCumming, GA · 8 clinicians
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