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

Mr. Jonathan Edenfield, MSOTR/L

Individual provider Pediatric Occupational Therapist · NPI 1598781932

Mr. Jonathan Edenfield, MSOTR/L is a Pediatric Occupational Therapist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2

Practice location Address checks out

12276 San Jose Blvd Ste 508
Jacksonville, FL 32223-8628
Phone: (904) 886-3228
Fax: (904) 886-3297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT9495 (FL)
Occupational Therapist Taxonomy 225X00000X · Licence OT 9495 (FL)

Record details

NPI number1598781932
Entity typeIndividual (Type 1)
GenderMale
Credentials MSOTR/L
Sole proprietorNo
NPI enumeratedJuly 15, 2006
Last updated in NPPESMay 14, 2008

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