Milestone Therapy, LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT4582 Issued in MS

Legal business name

MILESTONE THERAPY, LLC

Practice address

6 Siebenkittel Cir
Suite G
Carriere, MS 39426-8777

Phone

(601) 799-4065

Fax

(601) 799-4064

NPI assigned

Nov 10, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Eastburn Surdi, P,T.

Title

Physical Therapist / Owner

Phone

(985) 774-9082

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1194052290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "TALLEVAST",
            "state": "FL",
            "postal_code": "342700265",
            "telephone_number": "985-774-9082",
            "fax_number": "601-799-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SIEBENKITTEL CIR",
            "address_2": "SUITE G",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394268777",
            "telephone_number": "601-799-4065",
            "fax_number": "601-799-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "SURDI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "EASTBURN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / OWNER",
        "authorized_official_telephone_number": "985-774-9082",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P,T."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MS",
            "license": "PT4582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04037825",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Physical Therapist in Carriere, MS
• Providers in Carriere, MS by specialty
• Pediatric Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.