JANET MOULTON, INC. (NPI# 1295351971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295351971 |
| Entity Type | Organization |
| Organization Name | JANET MOULTON, INC. |
| Other Organization Name | PEDIATRIC THERAPY ASSOCIATES |
| Practice Address |
13241 Bartram Park Blvd Unit 1913 Jacksonville FL 32258-5228 |
| Mailing Address |
340 16th Ave N Ste B Jacksonville Beach FL 32250-4819 |
| Practice Telephone | 9042498893 |
| Practice Fax Number | 9043720496 |
| Mailing Telephone | 9042498893 |
| Mailing Fax Number | 9043720496 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | CHARLOTTE LAVERGNE (BILLING AGENT) |
| Authorized Official Telephone | 9048794230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pediatric Therapy Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104867670 | Janet Moulton, Inc. | Speech-Language Pathologist | 340 16th Ave N Ste B, Jacksonville Beach, FL 32250-4819 | 2006-06-08 |
| 1225654908 | Janet Moulton, Inc. | Clinic/Center | 463380 State Road 200 Unit A, Yulee, FL 32097-3240 | 2020-06-18 |
| 1306462270 | Janet Moulton, Inc. | Clinic/Center | 13453 N Main St Ste 401, Jacksonville, FL 32218-2774 | 2020-06-17 |
| Street Address |
13241 BARTRAM PARK BLVD UNIT 1913 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-5228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346856762 | Kylie Lowery | Speech-Language Pathologist | 13241 Bartram Park Blvd Unit 1913, Jacksonville, FL 32258-5228 | 2020-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417570326 | Rebound Rehabilitative Services Inc | Clinic/Center | 5913 Normandy Blvd Ste 3, Jacksonville, FL 32205-6269 | 2020-05-26 |
| 1952935769 | Pain Care & Physical Therapy, Inc. | Clinic/Center | 2685 Alexia Cir, Jacksonville, FL 32246-0002 | 2020-03-02 |
| 1124676002 | Her Essence Physical Therapy & Wellness LLC | Clinic/Center | 3890 Dunn Ave Ste 1001, Jacksonville, FL 32218-6429 | 2019-09-03 |
| 1912552977 | Your Place Physical Therapy Pa | Clinic/Center | 14286 Beach Blvd Ste 19-123, Jacksonville, FL 32250-1561 | 2019-08-07 |
| 1871153213 | Rebound Rehabilitative Services Inc | Clinic/Center | 8081 Philips Hwy Ste 5, Jacksonville, FL 32256-7443 | 2019-06-18 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1952852287 | Conlon Physical Therapy, LLC | Clinic/Center | 7545 Centurion Pkwy Ste 104, Jacksonville, FL 32256-4118 | 2016-10-21 |
| 1336699552 | Select Physical Therapy | Clinic/Center | 1328 Vine St, Jacksonville, FL 32207-8743 | 2016-10-12 |
| 1609279405 | Ergo Body Inc. | Clinic/Center | 1555 San Marco Blvd, Jacksonville, FL 32207-2905 | 2014-10-07 |
| 1447509310 | Sarah F Gosselin | Clinic/Center | 2200-g Gum Branch Rd, Jacksonville, NC 28540 | 2012-09-06 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.