Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pediatric Therapy Associates LLC

Organization Pediatric Physical Therapist · NPI 1417973918

Pediatric Therapy Associates LLC is a Pediatric Physical Therapist in Jacksonville, Florida. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12276 San Jose Blvd Ste 508
Jacksonville, FL 32223-8628
Phone: (904) 886-3228
Fax: (904) 886-3297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Pediatric Physical Therapist Taxonomy 2251P0200X
Pediatric Occupational Therapist Taxonomy 225XP0200X

Record details

NPI number1417973918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Edenfield — President · (904) 886-3228
NPI enumeratedJuly 15, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address12276 San Jose Blvd, Suite 508, Jacksonville, FL 32223-8628

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