Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CODY RANDALL PONTIUS, MED, ATC, LAT
ActiveMR. CODY RANDALL PONTIUS, MED, ATC, LAT is a Athletic Trainer healthcare provider located in PONTE VEDRA, Florida. NPI 1023542891 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PONTE VEDRA, FL
Registration Details
- NPI Number
- 1023542891
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2017 (9.3080482048539 yrs)
- Last Updated
- Apr 18, 2017
- License
-
AL3584 (FL)
Practice Information
- Address
-
460 DAVIS PARK RDPONTE VEDRA, FL, 320810544Browse FL providers · Browse ZIP 32081
- Phone
- 9045477387
- Fax
- 9045477355
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PONTE VEDRA, FL
| Name | Credential | NPI |
|---|---|---|
| JENNIFER BORGIO | ATC | 1982008389 |
| KELSEY ROSENBLUM | — | 1770056996 |
| ALYSON MARY TRIEPKE | — | 1932937406 |
| JOSEPH A CONTRINO | — | 1124916861 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.