Janet Moulton, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

JANET MOULTON, INC.

Practice address

13453 N Main St Ste 401
Jacksonville, FL 32218-2774

Phone

(904) 249-8893

Fax

(904) 372-0496

NPI assigned

Jun 17, 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 3

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 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": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1306462270",
    "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": "13453 N MAIN ST STE 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182774",
            "telephone_number": "904-249-8893",
            "fax_number": "904-372-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET MOULTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "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": "904-372-0496",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "13453 N Main St Ste 401",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322182774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "904-372-0496",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "463380 State Road 200 Unit A",
            "city": "Yulee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320973240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "904-372-0496",
            "affiliation": "N",
            "endpointDescription": "Other",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "493 Prosperity Lake Dr Ste 303",
            "city": "St Augustine",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320925045",
            "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"
        }
    ]
}

• 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
• Janice Quarterman

• 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 Jun 18, 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.