Healthcare Provider Details

I. General information

NPI: 1982589974
Provider Name (Legal Business Name): CO PHYSIO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2025
Last Update Date: 09/11/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10358 RIVERSIDE DR STE 140
PALM BEACH GARDENS FL
33410-4203
US

IV. Provider business mailing address

326 JUPITER LAKES BLVD APT 2308B
JUPITER FL
33458-7168
US

V. Phone/Fax

Practice location:
  • Phone: 904-735-8100
  • Fax:
Mailing address:
  • Phone: 904-735-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER C ONEAL
Title or Position: OWNER
Credential: DPT
Phone: 904-735-8100