Active NPI
Elza Van Niekerk, PT
- Physical Therapist
- Jacksonville, FL
National Provider Identifier
1558868117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT33366
- Practice address
- 13809 Danforth Dr S
Jacksonville, FL 32224-2253 - Phone
- (904) 504-3226
- NPI assigned
- Apr 10, 2018
- Last updated
- Aug 4, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT33366 | FL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Integration Studios LLC | Physical Therapist | Past | Accepting new patients |
| Focus Physical Therapy | Past | Accepting new patients | |
| Focus Physical Therapy Inc | Physical Therapist | Past | 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.
-
- Physical Therapist
- Heber City, UT
- NPI 1255255246
-
- Physical Therapy Clinic/Center
- Jacksonville, FL
- NPI 1275948762
-
- Physical Therapist
- Jacksonville, FL
- NPI 1891335972
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.