Active NPI
Majestic Milestones, LLC
- Pediatric Occupational Therapist
- Columbia, LA
National Provider Identifier
1003670688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- MAJESTIC MILESTONES, LLC
- Practice address
- 410 Pearl Street
Columbia, LA 71418 - Phone
- (318) 267-8667
- NPI assigned
- Feb 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Micaela Wilson
- Title
- Owner
- Phone
- (318) 267-8667
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
410 Pearl Street
Columbia, LA 71418
Mailing address
PO Box 1653
Columbia, LA 71418-1653
Phone (318) 267-8667
National Provider Directory
National Provider DirectoryLocations
410 Pearl St
Columbia, LA 71418
Phone (318) 267-8667
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707782400000",
"number": "1003670688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1653",
"city": "COLUMBIA",
"state": "LA",
"postal_code": "714181653",
"telephone_number": "318-267-8667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 PEARL STREET",
"city": "COLUMBIA",
"state": "LA",
"postal_code": "71418",
"telephone_number": "318-267-8667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAJESTIC MILESTONES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-13",
"last_updated": "2024-02-13",
"certification_date": "2024-02-12",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "MICAELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-267-8667"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.