SAN JOSE THERAPY SERVICES LLC
NPI 1215777990
Social Worker - Clinical in Jacksonville, FL
About San Jose Therapy Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN JOSE THERAPY SERVICES LLC (NPI 1215777990) is a healthcare organization registered as a clinical in Jacksonville, Florida and active in the NPI registry since May 2024. The organization lists Edwin Dilone, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Jose Therapy Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to San Jose Therapy Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is San Jose Therapy Services LLC's NPI number?
The NPI number for San Jose Therapy Services LLC is 1215777990. It was assigned to this organization in the NPPES registry on May 29, 2024.
Where is San Jose Therapy Services LLC located?
San Jose Therapy Services LLC is located at 4741 Atlantic Blvd, Jacksonville, FL 32207. The listed phone number is (904) 345-0211.
What is San Jose Therapy Services LLC's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is San Jose Therapy Services LLC enrolled in Medicare?
Yes. San Jose Therapy Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through San Jose Therapy Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to San Jose Therapy Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for San Jose Therapy Services LLC was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# San Jose Therapy Services Llc · NPI 1215777990
Clinical organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since May 29, 2024.
## Identity
- **NPI:** 1215777990 (Entity type: Organization)
- **Enumerated:** May 29, 2024
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Edwin Dilone, PRESIDENT
## Practice location
- **Address:** 4741 ATLANTIC BLVD, Jacksonville, FL 32207-1114
- **Phone:** (904) 345-0211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1215777990) · Data from the CMS NPPES public registry.