Pediatric Therapy Associates – Speech-Language Pathologist, NPI 1104867670

Pediatric Therapy Associates is a healthcare provider. based in Saint augustine, Florida. specializing in Speech-Language Pathologist. The organization holds a License No. SA4951 (FL). The NPI Number for Pediatric Therapy Associates is 1104867670

Main info

Organization
Name
Pediatric Therapy Associates
NPI
1104867670
Phone
(904) 249-8893
Address
493 Prosperity Lake Dr Ste 303
Authorized Official
JANET S MOULTON OWNER SLP
Enumeration Date
8 June 2006
Last Update Date
25 October 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Pediatric Therapy Associates

  • 493 Prosperity Lake Dr Ste 303

    Saint Augustine, FL 320925045

    Phone: (904) 249-8893

    Fax: (904) 372-0496

    Type: Location

  • 463380 State Road 200 Unit A

    Yulee, FL 320973240

    Phone: (904) 249-8893

    Fax: (904) 372-0496

    Type: Location

  • 13453 N Main St Ste 401

    Jacksonville, FL 322182774

    Phone: (904) 249-8893

    Fax: (904) 372-0496

    Type: Location

  • 16th Avenue North, Surf Park, Jacksonville Beach, Duval County, Florida, 32250, United States

    JACKSONVILLE BEACH, FL 322504819

    Phone: (904) 249-8893

    Fax: (904) 372-0496

    Type: Mailing

  • 340 16TH AVE N

    STE B

    JACKSONVILLE BEACH, FL 322504819

    Phone: (904) 249-8893

    Fax: (904) 372-0496

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32092)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference Pediatric Therapy Associates?
For Pediatric Therapy Associates, use NPI 1104867670 as the unique 10-digit identifier.
Would Pediatric Therapy Associates appear as active to a payer?
You can treat Pediatric Therapy Associates as active for directory purposes; confirm clinical privileges separately.
How would a patient describe Pediatric Therapy Associates's focus?
For Pediatric Therapy Associates, the primary taxonomy reads as Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Is Pediatric Therapy Associates associated with Saint Augustine?
Public fields place Pediatric Therapy Associates around Saint Augustine, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Pediatric Therapy Associates is noted as June 8, 2006 where the registry provides it.

Similar Providers

Saint Augustine Post Office, Main Street, Saint Augustine, Le Golfe-du-Saint-Laurent, Côte-Nord, Quebec, Canada
NPI: 1639288616

MS. LYNN ELDRIDGE (CCC-SP)

Speech-Language Pathologist
411 D ST
NPI: 1194865873

ANN-MARIE GORDON BUTLER (M.A., CCC)

Speech-Language Pathologist
812 CRYSTAL SPRING WAY
NPI: 1386860708

Unknown Individual

Speech-Language Pathologist
4400 N ALATAMAHA ST
NPI: 1679732135

MS. MELANIE BLAIR (SLP)

Speech-Language Pathologist
1413 BLUE SPRING COURT
NPI: 1942450523
2343, Sunset Bluff Drive, Villages of Summer Lakes, Southside Estates, Jacksonville, Duval County, Florida, 32216, United States
NPI: 1376794909

MRS. MEGAN STEWART (M.S., CCC-SLP)

Speech-Language Pathologist
13473 MOSSY CYPRESS DR
NPI: 1770806994
3043 ATHERLEY RD
NPI: 1407167877

CAROLYN HUNTER SMALLWOOD

Speech-Language Pathologist
2180 A1A S STE 202
NPI: 1053621136