MAURICIO ELIZONDO PT, DPT, ATC, CSCS
NPI 1679041081
Physical Therapist - Sports in Ponte Vedra Beach, FL

Q: What is Mauricio Elizondo's NPI number?

The NPI number for Mauricio Elizondo is 1679041081. It was assigned to this individual provider in the NPPES registry on November 5, 2018.

Q: What is Mauricio Elizondo's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Q: When was this NPI record last updated?

The NPPES record for Mauricio Elizondo was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 05, 2018

201 ATP TOUR BLVD, PONTE VEDRA BEACH, FL 32082(480) 208-4508 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mauricio Elizondo Pt, Dpt, Atc, Cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAURICIO ELIZONDO PT, DPT, ATC, CSCS (NPI 1679041081) is an individual sports provider in Ponte Vedra Beach, Florida, licensed in Florida (PT33327) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1679041081

Entity TypeIndividualMale

Primary Taxonomy2251S0007X

Provider Legal NameMAURICIO ELIZONDOCredential: PT, DPT, ATC, CSCS

Location Address201 ATP TOUR BLVDPonte Vedra Beach, FL 32082-3211

Mailing Address16627 Fishhawk BlvdLithia, FL 33547-3800

Phone(480) 208-4508

Sole ProprietorYes

Enumeration DateNovember 5, 2018

Last NPPES UpdateNovember 8, 2018

✔ NPI 1679041081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251S0007X

License✔ Licensed in FL · PT33327

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

201 ATP TOUR BLVD, Ponte Vedra Beach, FL 32082

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mauricio Elizondo's NPI number?

The NPI number for Mauricio Elizondo is 1679041081. It was assigned to this individual provider in the NPPES registry on November 5, 2018.

Where is Mauricio Elizondo located?

Mauricio Elizondo practices at 201 Atp Tour Blvd, Ponte Vedra Beach, FL 32082. The listed phone number is (480) 208-4508.

What is Mauricio Elizondo's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Mauricio Elizondo was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.