MR. CODY RANDALL PONTIUS (NPI# 1023542891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023542891 |
| Entity Type | Individual |
| Full Name | MR. CODY RANDALL PONTIUS |
| Credential | MED, ATC, LAT |
| Practice Address |
460 Davis Park Rd Ponte Vedra FL 32081-0544 |
| Practice Telephone | 9045477387 |
| Practice Fax Number | 9045477355 |
| Mailing Telephone | 9045477387 |
| Mailing Fax Number | 9045477355 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL3584 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
460 DAVIS PARK RD |
| City | PONTE VEDRA |
| State | FL |
| Zip Code | 32081-0544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325987 | Flagler Professional Health Care Services Inc. | Radiology | 351 Town Plaza Avenue, 101, Ponte Vedra, FL 32081 | 2020-08-05 |
| 1396379780 | Blue Water Health and Wellness LLC | Clinic/Center | 340 Town Place Ave. Suite 240, Ponte Vedra, FL 32081 | 2020-02-25 |
| 1407489743 | Flagler Professional Health Care Services, Inc. | Radiology | 351 Town Plaza Ave, Ste 101, Ponte Vedra, FL 32081 | 2020-02-14 |
| 1609424217 | North Florida Pediatrics, Pa | Pediatrics | 145 Hilden Road Suite 101, Ponte Vedra, FL 32081 | 2019-08-27 |
| 1588121487 | Donald A. Barnhorst Jr. Md Pa | Eyewear Supplier (Equipment, not the service) | 190 Marketside Ave., Suite B, Ponte Vedra, FL 32081 | 2019-02-27 |
| 1770056996 | Kelsey Rosenblum | Specialist/Technologist | 122 Princess Drive, Ponte Vedra, FL 32081 | 2019-01-10 |
| 1609364884 | Turner Telemedicine, Pllc | Family Medicine | 102 Queensland Cir, Ponte Vedra, FL 32081 | 2018-04-24 |
| 1649705914 | Catherine Julia Seidle | Nurse Practitioner | 20 Rialto Drive, Ponte Vedra, FL 32081 | 2017-04-25 |
| 1366988743 | Comfortable Care Dental Health Professionals, Pa | Dentist | 685 Crosswater Parkway, Suite A, Ponte Vedra Beach, FL 32081 | 2017-01-10 |
| 1053776872 | Brittany Jones | Social Worker | 98 Skylar Lane, Ponte Vedra, FL 32081 | 2015-12-21 |
| Find all providers in zip 32081 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770056996 | Kelsey Rosenblum | Specialist/Technologist | 122 Princess Drive, Ponte Vedra, FL 32081 | 2019-01-10 |
| 1982008389 | Jennifer Borgio | Specialist/Technologist | 234 Cornwall Dr, Ponte Vedra, FL 32081-0126 | 2014-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597560 | Hannah Ogle | Specialist/Technologist | 110 Gloria Drive, Hollister, FL 32147 | 2020-10-30 |
| 1740889377 | Ryan Michael Hill | Specialist/Technologist | 314 S Habana Ave, Tampa, FL 33609-3223 | 2020-10-24 |
| 1568061182 | Lester Vivian Leon Ferdinand | Specialist/Technologist | 6705 S Red Rd Ste 410, South Miami, FL 33143-3644 | 2020-10-24 |
| 1770182651 | Sarah Danielle Combs | Specialist/Technologist | 4521 Lenmore Street, Orlando, FL 32812 | 2020-10-21 |
| 1679170369 | David S Duchin | Specialist/Technologist | 19033 Nw 23rd Ct, Pembroke Pines, FL 33029-5337 | 2020-10-06 |
| 1750988838 | Jade Shields | Specialist/Technologist | 144 Enrede Ln, Saint Augustine, FL 32095-7436 | 2020-10-02 |
| 1639786940 | Dewayne N Dubose | Specialist/Technologist | 344 Chesham St, Ormond Beach, FL 32174-0692 | 2020-09-30 |
| 1467069914 | Alison M Dougan | Specialist/Technologist | 3345 Cypress Legends Cir Apt 1104, Fort Myers, FL 33905-5542 | 2020-09-29 |
| 1225643240 | Megan Marisa Fox | Specialist/Technologist | 5803 Marta Dr, Tampa, FL 33617-1125 | 2020-09-15 |
| 1104430305 | Nikki Page Keown | Specialist/Technologist | 12136 Luftburrow Ln, Hudson, FL 34669-5005 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | PONTE VEDRA |
| Zip Code | 32081 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.