Pediatric Therapy Associates LLC
NPI 1417973918 · Speech-Language Pathologist · Jacksonville, FL
Pediatric Therapy Associates LLC is a Speech-Language Pathologist organization in Jacksonville, FL (NPI 1417973918).
Provider details
- NPI number
- 1417973918
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Jonathan Edenfield, President(904) 886-3228
Specialties & taxonomies
Speech, Language and Hearing Service Providers
- Pediatric Physical Therapist2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Pediatric Occupational Therapist225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2025-09-11
Frequently asked questions
- What is Pediatric Therapy Associates LLC's NPI number?
- Pediatric Therapy Associates LLC's National Provider Identifier (NPI) is 1417973918, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Therapy Associates LLC?
- Pediatric Therapy Associates LLC is classified in the NPPES registry as Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Pediatric Therapy Associates LLC located?
- Pediatric Therapy Associates LLC's practice location on file with NPPES is 12276 San Jose Blvd, Jacksonville, FL 32223-8628.
- What is Pediatric Therapy Associates LLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Therapy Associates LLC is (904) 886-3228.
- Who is the authorized official for Pediatric Therapy Associates LLC?
- The authorized official listed on Pediatric Therapy Associates LLC's NPPES record is Jonathan Edenfield, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Therapy Associates LLC's NPI active?
- Yes — Pediatric Therapy Associates LLC's NPI (1417973918) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.