PEDIATRIC THERAPY ASSOCIATES LLC
NPI 1417973918
Speech-Language Pathologist in Jacksonville, FL
NPI Status: Active since July 15, 2006
Contact Information
12276 SAN JOSE BLVD
SUITE 508
JACKSONVILLE, FL
ZIP 32223
Phone: (904) 886-3228
Fax: (904) 886-3297
- Organization
- Speech-Language Pathologist
About PEDIATRIC THERAPY ASSOCIATES LLC
This page provides the complete NPI Profile along with additional information for Pediatric Therapy Associates Llc, a provider established in Jacksonville, Florida operating as a Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1417973918 assigned on July 2006. The practitioner's primary taxonomy code is 235Z00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Pediatric Therapy Associates Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Jonathan Eric Edenfield M.s. Otr/l (President)
- NPI
- 1417973918
- Provider Name
- PEDIATRIC THERAPY ASSOCIATES LLC
- Entity Type
- Organization
- Location Address
- 12276 SAN JOSE BLVD SUITE 508 JACKSONVILLE, FL 32223
- Location Phone
- (904) 886-3228
- Location Fax
- (904) 886-3297
- Mailing Address
- 12276 SAN JOSE BLVD SUITE 508 JACKSONVILLE, FL 32223
- Mailing Phone
- (904) 886-3228
- Mailing Fax
- (904) 886-3297
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-15-2006
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 2 | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1417973918, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JACKSONVILLE, FL 32223
JACKSONVILLE, FL 32223
JACKSONVILLE, FL 32223
JACKSONVILLE, FL 32223
JACKSONVILLE, FL 32223
JACKSONVILLE, FL 32223
JACKSONVILLE, FL 32223
JACKSONVILLE, FL 32223
JACKSONVILLE, FL 32223
JACKSONVILLE, FL 32223
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417973918, enumerated as an "organization" on July 15, 2006.
The provider is located at 12276 SAN JOSE BLVD SUITE 508 JACKSONVILLE, FL 32223 and the phone number is (904) 886-3228.
Speech-Language Pathologist with taxonomy code 235Z00000X.
