Pediatric Therapy Associates Llc

LBN: Pediatric Therapy Associates Llc
Pediatric Therapy Associates Llc is an health care organization with primary practice located at 12276 San Jose Blvd Suite 508, Jacksonville FL 32223-8628. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Pediatric Therapy Associates Llc can be contacted via phone (904) 886-3228, or through Edenfield, Jonathan Eric via phone (904) 886-3228.

Contact Information

Primary practice address
12276 San Jose Blvd Suite 508 Jacksonville FL 32223-8628
Phone: (904) 886-3228
Fax: (904) 886-3297
Website:
Map and Directions
Authorized official contact:
Name: Edenfield, Jonathan Eric M.S. OTR/L
Phone: (904) 886-3228

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1417973918
LBN Legal business name Pediatric Therapy Associates Llc
DBA Doing business as
Authorized official Edenfield, Jonathan Eric M.S. OTR/L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2006
Last updated Sep 11th, 2025 - about last year

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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