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Pediatric Therapy Associates LLC

Speech-Language Pathologist in Jacksonville, FL · enumerated 2006 · authorized official Jonathan Edenfield, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417973918

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Registry record

Entity type Organization (Type 2)
Legal business name Pediatric Therapy Associates LLC
Practice address 12276 San Jose Blvd, Suite 508, Jacksonville, FL, 32223
Fax (904) 886-3297
Enumeration date Jul 15, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

2251P0200X Pediatric Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225XP0200X Pediatric Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Primary

Authorized official

Name Jonathan Edenfield
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Pediatric Therapy Associates LLC?
The NPI for Pediatric Therapy Associates LLC is 1417973918, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pediatric Therapy Associates LLC?
NPPES lists Jonathan Edenfield (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.