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MILESTONE PEDIATRICS LLC NPI 1780828558


NPI Information

NPI: 1780828558
Provider Name: MILESTONE PEDIATRICS LLC

Doing Business As: MILESTONE INNOVATIVE THERAPY GROUP

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
1830 S ALMA SCHOOL RD
SUITE 122
MESA, AZ
ZIP 85210
Phone: (480) 855-0474
Get Directions

MILESTONE PEDIATRICS LLC is a speech language pathologist in Mesa, AZ. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MILESTONE PEDIATRICS LLC NPI is 1780828558. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Milestone Innovative Therapy Group.

The provider's business location address is:

1830 S ALMA SCHOOL RD
SUITE 122
MESA, AZ
ZIP 85210
Phone: (480) 855-0474
Fax: (480) 907-6855

The provider's authorized official is Nichelle Dean .
The authorized official title is Director Of Operations & Human Reso and has the following contact phone number (480) 855-0474.

The enumeration date for this NPI number is 4/23/2009 and was last updated on 5/18/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1224Z00000XOccupational Therapy AssistantNo
2224ZR0403XOccupational Therapy AssistantDriving and Community MobilityNo
3225A00000XMusic TherapistNo
4225X00000XOccupational TherapistNo
5225XP0200XOccupational TherapistPediatricsNo
6225XR0403XOccupational TherapistDriving and Community MobilityNo
72355S0801XSpecialist/TechnologistSpeech-Language AssistantNo
8235Z00000XSpeech-Language PathologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1494003MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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