Active NPI
Milestones Pediatric Physical Therapy
- Physical Therapist
- Southfield, MI
National Provider Identifier
1346850823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MILESTONES PEDIATRIC PHYSICAL THERAPY
- Practice address
- 18161 W 13 Mile Rd Ste B4
Southfield, MI 48076-1113 - Phone
- (248) 792-7019
- Fax
- (248) 297-6838
- NPI assigned
- Aug 9, 2020
- 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
- Deborah Malushi, PT
- Title
- Owner
- Phone
- (248) 622-1854
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
18161 W 13 Mile Rd Ste B4
Southfield, MI 48076-1113
Mailing address
18161 W 13 Mile Rd Ste B4
Southfield, MI 48076-1113
Phone (248) 792-7019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
18161 W 13 Mile Rd
Ste B4
Southfield, MI 48076
Phone (248) 792-7019
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Novi, MI
- NPI 1487146080
-
- Physical Therapist
- Sterling Heights, MI
- NPI 1578651832
-
- Physical Therapist
- Pontiac, MI
- NPI 1205596228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714521600000",
"number": "1346850823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18161 W 13 MILE RD STE B4",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480761113",
"telephone_number": "248-792-7019",
"fax_number": "248-297-6838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18161 W 13 MILE RD STE B4",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480761113",
"telephone_number": "248-792-7019",
"fax_number": "248-297-6838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILESTONES PEDIATRIC PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-09",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A",
"authorized_official_last_name": "MALUSHI",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-622-1854",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.