Janet Moulton, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

JANET MOULTON, INC.

Practice address

13241 Bartram Park Blvd Unit 1913
Jacksonville, FL 32258-5228

Phone

(904) 249-8893

Fax

(904) 372-0496

NPI assigned

Jun 18, 2020

Organization subpart

No

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

Authorized official

Name

Charlotte Lavergne

Title

Billing Agent

Phone

(904) 879-4230

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Therapy Associates Doing business as

Electronic endpoints 1

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 1306462270
  NPD tax ID
• Janet S Moulton Inc

  • Speech-Language Pathologist
  • Jacksonville Beach, FL
  • NPI 1104867670
  NPD tax ID

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1295351971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 16TH AVE N 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": "13241 BARTRAM PARK BLVD UNIT 1913",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585228",
            "telephone_number": "904-249-8893",
            "fax_number": "904-372-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET MOULTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "LAVERGNE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "904-879-4230"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "9043720496",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Fax",
            "address_1": "13241 Bartram Park Blvd Unit 1913",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322585228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pediatric Therapy Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Therapy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meryam Jan, M.D.
• Carlie Janeczko
• Janet a Betchkal MD PA
• Janet D. Constantine PL
• Janet M. Mint, O.D., PA
• Janet Moulton, Inc.
• Janet V Attlesey MD PA
• Janettann Homemaker and Companionship
• Mona Janfaza, MD
• Ina Jani, MD

• Physical Therapy Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.