Janet S Moulton Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

JANET S MOULTON INC

Practice address

340 16TH Ave N
Ste B
Jacksonville Beach, FL 32250-4819

Phone

(904) 249-8893

Fax

(904) 372-0496

NPI assigned

Jun 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janet S Moulton, SLP

Title

Owner

Phone

(904) 249-8893

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Pediatric Therapy Associates Doing business as

Tax ID family

Janet Moulton Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Janet Moulton, Inc.

  • Physical Therapy Clinic/Center
  • Yulee, FL
  • NPI 1225654908
  NPD tax ID
• Janet Moulton, Inc.

  • Physical Therapy Clinic/Center
  • Jacksonville, FL
  • NPI 1295351971
  NPD tax ID
• Janet Moulton, Inc.

  • Physical Therapy Clinic/Center
  • Jacksonville, FL
  • NPI 1306462270
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1104867670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 16TH AVE N",
            "address_2": "STE B",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504819",
            "telephone_number": "904-249-8893",
            "fax_number": "904-372-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 16TH AVE N",
            "address_2": "STE B",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504819",
            "telephone_number": "904-249-8893",
            "fax_number": "904-372-0496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463380 State Road 200 Unit A",
            "address_purpose": "LOCATION",
            "city": "Yulee",
            "state": "FL",
            "postal_code": "320973240",
            "country_code": "US",
            "telephone_number": "904-249-8893",
            "fax_number": "904-372-0496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13453 N Main St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322182774",
            "country_code": "US",
            "telephone_number": "904-249-8893",
            "fax_number": "904-372-0496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "493 Prosperity Lake Dr Ste 303",
            "address_purpose": "LOCATION",
            "city": "Saint Augustine",
            "state": "FL",
            "postal_code": "320925045",
            "country_code": "US",
            "telephone_number": "904-249-8893",
            "fax_number": "904-372-0496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JANET S MOULTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-249-8893",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4951",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884273600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "S1828",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Therapy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.