Organization Active NPI

Milestone Therapy Group LLC

  • Speech-Language Pathologist
  • Wynnewood, PA
National Provider Identifier
1225699788
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MILESTONE THERAPY GROUP LLC
Practice address
1010 Clover Hill Rd
Wynnewood, PA 19096-2007
Phone
(610) 628-0249
Fax
(610) 628-2621
NPI assigned
Jun 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Authorized official

Name
Ashley M White, M.S.CCC-SLPNPI 1497104053
Title
Owner
Phone
(610) 628-0249

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1010 Clover Hill Rd
Wynnewood, PA 19096-2007

Mailing address

1010 Clover Hill Rd
Wynnewood, PA 19096-2007
Phone (610) 628-0249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190827003520 PA Part B Supplier - Clinic/Group Practice 5698003754 Receives reassigned benefits from 1 practitioner
Practice locations: Bala Cynwyd, PA

National Provider Directory

National Provider Directory

Locations

111 Presidential Blvd
Ste 202
Bala Cynwyd, PA 19004
Phone (610) 628-0249

301 E City Line Ave
Ste 110
Bala Cynwyd, PA 19004
Phone (610) 628-0249

191 Presidential Blvd
Ste 116
Bala Cynwyd, PA 19004
Phone (610) 628-0249

Practitioners & affiliated clinicians

Practitioners 5

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": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1225699788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CLOVER HILL RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962007",
            "telephone_number": "610-628-0249",
            "fax_number": "610-628-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CLOVER HILL RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962007",
            "telephone_number": "610-628-0249",
            "fax_number": "610-628-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-628-0249",
        "authorized_official_credential": "M.S.CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.