Milestones Pediatric Therapy LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2647 Issued in SC

Legal business name

MILESTONES PEDIATRIC THERAPY LLC

Practice address

1000 Johnnie Dodds Blvd Ste 103-213
Mount Pleasant, SC 29464-3135

Phone

(843) 425-2828

Fax

(843) 388-6346

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Leslie Guglielmello, OTRNPI 1104044080

Title

Occupational Therapist

Phone

(843) 425-2828

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Marie Guglielmello, OT

  • Occupational Therapist
  • Mount Pleasant, SC
  • NPI 1104044080
  NPD (past) Authorized official

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1134323249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JOHNNIE DODDS BLVD STE 103-213",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643135",
            "telephone_number": "843-425-2828",
            "fax_number": "843-388-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNNIE DODDS BLVD STE 103-213",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643135",
            "telephone_number": "843-425-2828",
            "fax_number": "843-388-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "GUGLIELMELLO",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "843-425-2828",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "2647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4166",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Becky Miggenburg, DPT
• Emily Signe Mika Nemeth, M.D.
• Michael Mikola, MD
• Jennifer Lee Mikoll, PA-C
• Katelyn Paige Miles, OTR/L
• Apsley Allen Milford, DPT
• Alexa Milici
• Amy Miller, RN
• Bjorn P Miller, M.D.
• Hannah Gervais Miller, MA, NCC, LPC

• Pediatric Occupational Therapist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.