Individual provider Active NPI

Elza Van Niekerk, PT

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1558868117
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33366 Issued in FL
Practice address
13809 Danforth Dr S
Jacksonville, FL 32224-2253
Phone
(904) 504-3226
NPI assigned
Apr 10, 2018
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14295953-2401 UT
Physical Therapist 225100000X PT33366 FL Primary

Addresses

Primary practice location

13809 Danforth Dr S
Jacksonville, FL 32224-2253

Mailing address

104 E 600 S Ste 830
Heber City, UT 84032-2365
Phone (904) 504-3226

Other practice location 1

1728 S 1160 E
Heber City, UT 84032-1685
Phone (904) 504-3226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT33366FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Integration Studios LLC Physical Therapist Past Accepting new patients
Focus Physical Therapy Past Accepting new patients
Focus Physical Therapy Inc Physical Therapist PastSince Jan 12, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1558868117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E 600 S STE 830",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840322365",
            "telephone_number": "904-504-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13809 DANFORTH DR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242253",
            "telephone_number": "904-504-3226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1728 S 1160 E",
            "address_purpose": "LOCATION",
            "city": "Heber City",
            "state": "UT",
            "postal_code": "840321685",
            "country_code": "US",
            "telephone_number": "904-504-3226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN NIEKERK",
        "first_name": "ELZA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "14295953-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.