JANET S MOULTON INC NPI 1104867670

NPI Information

  • NPI: 1104867670
  • Provider Name: JANET S MOULTON INC
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Doing Business As: PEDIATRIC THERAPY ASSOCIATES
  • CLIA Number: 10D1049528
  • Address: 340 16TH AVE N
    STE B
    JACKSONVILLE BEACH, FL
    ZIP 32250
  • Phone: (904) 249-8893

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NPI Details

JANET S MOULTON INC is a speech language pathologist in Jacksonville Beach, FL. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. JANET S MOULTON INC NPI is 1104867670. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pediatric Therapy Associates.

The provider's business location address is:

340 16TH AVE N
STE B
JACKSONVILLE BEACH, FL
ZIP 32250-819
Phone: (904) 249-8893
Fax: (904) 372-0496

The provider's authorized official is Janet S Moulton .
The authorized official title is Owner and has the following contact phone number (904) 249-8893.

The CLIA number assigned to this NPI record is 10D1049528 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 10/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistNo
2225X00000XOccupational TherapistNo
3235Z00000XSpeech-Language PathologistSA4951FLORIDANo
4235Z00000XSpeech-Language PathologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1884273600MEDICAIDFLORIDA
2S1828OTHERFLORIDABC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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