Active NPI
Milestones Pediatric Therapies of Naples P.a.
- Physical Therapist
- Naples, FL
National Provider Identifier
1215268347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MILESTONES PEDIATRIC THERAPIES OF NAPLES P.A.
- Practice address
- 15462 Summit Place Cir
Naples, FL 34119-4122 - Phone
- (239) 298-1915
- NPI assigned
- Jan 29, 2010
- Last updated
- Nov 14, 2011
- 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
- Jonah Joseph Frost
- Title
- Owner
- Phone
- (239) 298-1915
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | |||
| Physical Therapist | 225100000X | Primary | ||
| Physical Therapy Assistant | 225200000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Assistant | 2355S0801X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
15462 Summit Place Cir
Naples, FL 34119-4122
Mailing address
15462 Summit Place Cir
Naples, FL 34119-4122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001746700 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321228800000",
"number": "1215268347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15462 SUMMIT PLACE CIR",
"city": "NAPLES",
"state": "FL",
"postal_code": "341194122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15462 SUMMIT PLACE CIR",
"city": "NAPLES",
"state": "FL",
"postal_code": "341194122",
"telephone_number": "239-298-1915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILESTONES PEDIATRIC THERAPIES OF NAPLES P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-29",
"last_updated": "2011-11-14",
"status": "A",
"authorized_official_last_name": "FROST",
"authorized_official_first_name": "JONAH",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-298-1915"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001746700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.