Pediatric Therapy Associates

LBN: Janet S Moulton Inc
Pediatric Therapy Associates is an health care organization with primary practice located at 340 16Th Ave N Ste B, Jacksonville Beach FL 32250-4819. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Janet S Moulton Inc can be contacted via phone (904) 249-8893, or through Moulton, Janet S via phone (904) 249-8893.

Contact Information

Primary practice address
340 16Th Ave N Ste B Jacksonville Beach FL 32250-4819
Phone: (904) 249-8893
Fax: (904) 372-0496
Website:
Map and Directions
Authorized official contact:
Name: Moulton, Janet S SLP
Phone: (904) 249-8893

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA4951 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1104867670
LBN Legal business name Janet S Moulton Inc
DBA Doing business as Pediatric Therapy Associates
Authorized official Moulton, Janet S SLP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Oct 25th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104867670 NPPES
Florida MEDICAID 884273600
Florida Other S1828

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