PEDIATRIC THERAPY ASSOCIATES LLC
NPI 1417973918
Speech-Language Pathologist in Jacksonville, FL

Q: What is Pediatric Therapy Associates LLC's NPI number?

The NPI number for Pediatric Therapy Associates LLC is 1417973918. It was assigned to this organization in the NPPES registry on July 15, 2006.

Q: What is Pediatric Therapy Associates LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since July 15, 2006

12276 SAN JOSE BLVD, SUITE 508, JACKSONVILLE, FL 32223(904) 886-3228(904) 886-3297 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Pediatric Therapy Associates Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC THERAPY ASSOCIATES LLC (NPI 1417973918) is a healthcare organization registered as a speech-language pathologist in Jacksonville, Florida and active in the NPI registry since July 2006. The organization lists Jonathan Eric Edenfield, President, as its authorized official.

NPPES Registry Identity

NPI1417973918

Entity TypeOrganization

Primary Taxonomy235Z00000X

Legal Business NamePEDIATRIC THERAPY ASSOCIATES LLC

Location Address12276 SAN JOSE BLVD, SUITE 508Jacksonville, FL 32223-8628

Mailing Address12276 San Jose Blvd, Suite 508Jacksonville, FL 32223-8628 · (904) 886-3228 · Fax (904) 886-3297

Phone(904) 886-3228

Fax(904) 886-3297

Organization SubpartNo

Authorized OfficialJonathan Eric EdenfieldPresident · (904) 886-3228

Enumeration DateJuly 15, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1417973918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Definition

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.

Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X

Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X

12276 SAN JOSE BLVD, Jacksonville, FL 32223

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN O'HARA

Speech-Language Pathologist

12276 SAN JOSE BLVD, SUITE 507
JACKSONVILLE, FL 32223

Duval County (904) 288-8910

MRS. DEBRA SELLS

Physical Therapist (Pediatrics)

12276 SAN JOSE BLVD, STE 508
JACKSONVILLE, FL 32223

Duval County (904) 886-3228

MICHELLE ROBINSON

Occupational Therapist

12276 SAN JOSE BLVD, STE 507
JACKSONVILLE, FL 32223

Duval County (904) 288-8910

GREATSTRIDESREHABILITATION

Community/Behavioral Health

12276 SAN JOSE BLVD
JACKSONVILLE, FL 32223

Duval County (904) 886-3228

PLAY WORKS THERAPIES, P.A.

Speech-Language Pathologist

12276 SAN JOSE BLVD, SUITE 507
JACKSONVILLE, FL 32223

Duval County (904) 288-8910

KRISTINA BONILLA BCBA

Developmental Therapist

12276 SAN JOSE BLVD, SUITE 508
JACKSONVILLE, FL 32223

Duval County (904) 262-1111

KAITLIN MARIE SPARKS

Behavior Analyst

12276 SAN JOSE BLVD, SUITE 508
JACKSONVILLE, FL 32223

Duval County (904) 886-3228

NICOLE NICHOLAS ANTAR

Behavior Technician

12276 SAN JOSE BLVD
JACKSONVILLE, FL 32223

Duval County (904) 886-3228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Therapy Associates LLC's NPI number?

The NPI number for Pediatric Therapy Associates LLC is 1417973918. It was assigned to this organization in the NPPES registry on July 15, 2006.

Where is Pediatric Therapy Associates LLC located?

Pediatric Therapy Associates LLC is located at 12276 San Jose Blvd Suite 508, Jacksonville, FL 32223. The listed phone number is (904) 886-3228.

What is Pediatric Therapy Associates LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Pediatric Therapy Associates LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.