Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Cody Randall Pontius, MED, ATC, LAT

Individual provider Athletic Trainer · NPI 1023542891

Mr. Cody Randall Pontius, MED, ATC, LAT is an Athletic Trainer in Ponte Vedra, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

460 Davis Park Rd
Ponte Vedra, FL 32081-0544
Phone: (904) 547-7387
Fax: (904) 547-7355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AL3584 (FL)

Record details

NPI number1023542891
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , ATC , LAT
Sole proprietorNo
NPI enumeratedApril 18, 2017
Last updated in NPPESApril 18, 2017

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