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

Mr. Leonyd Calderon, MPTATC/L

Individual provider Physical Therapist · NPI 1588691034

Mr. Leonyd Calderon, MPTATC/L is a Physical Therapist in Private Practice in Jacksonville, Florida. Qualified in 2005, 21 years ago. Practices with Atlas Physical Therapy and Sports Medicine Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
21
Licensed in
FL
In the registry since
2006
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Practice location Address checks out

12421 San Jose Blvd Ste 100
Jacksonville, FL 32223-2680
Phone: (904) 292-0195
Fax: (904) 292-0566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT22556 (FL)

Record details

NPI number1588691034
Entity typeIndividual (Type 1)
GenderMale
Credentials MPTATC/L
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Atlas Physical Therapy And Sports Medicine Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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