Milestones Pediatric Therapy, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MILESTONES PEDIATRIC THERAPY, LLC

Practice address

707 Skokie Blvd
Suite 600
Northbrook, IL 60062-2857

Phone

(888) 711-2043

Fax

(847) 787-5323

NPI assigned

Dec 24, 2007

Organization subpart

No

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

Authorized official

Name

David Patel

Title

Vice President

Phone

(888) 711-2043

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545609600000",
    "number": "1376727545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SKOKIE BLVD",
            "address_2": "SUITE 600",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622857",
            "telephone_number": "888-711-2043",
            "fax_number": "847-787-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SKOKIE BLVD",
            "address_2": "SUITE 600",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622857",
            "telephone_number": "888-711-2043",
            "fax_number": "847-787-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2018-12-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "888-711-2043"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mielenz, RBT-18-72105
• Melinda Mikes
• Madelyn Mikitka, LCSW
• Karolina Mikos, MD
• Milestones Pediatric Therapy of the United States LLC
• Slavko Milicevic, DPT
• Caitlin Ruby Miller, LPC
• Jody Miller, SLP
• Kyle Tomas Miller, PT, DPT
• Megan Miller

• Early Intervention Provider Agency in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; 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.