NPIMap

Organization Active NPI

Milestone Therapy LLC

  • Speech-Language Pathologist
  • Kennesaw, GA
National Provider Identifier
1407425663
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MILESTONE THERAPY LLC
Practice address
1050 Shiloh Rd NW
Kennesaw, GA 30144-7194
Phone
(470) 227-0488
Fax
(844) 335-7394
NPI assigned
Jun 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Meredith Paige Paulin, MA CCC-SLPNPI 1821649641
Title
Owner Ceo
Phone
(770) 833-4685

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

1050 Shiloh Rd NW
Kennesaw, GA 30144-7194

Mailing address

4325 Highborne Dr NE
Marietta, GA 30066-2430
Phone (770) 833-4685

National Provider Directory

National Provider Directory

Locations

1301 Shiloh Rd NW
Ste 440
Kennesaw, GA 30144

1050 Shiloh Rd NW
Kennesaw, GA 30144
Phone (470) 227-0488

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": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1407425663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 HIGHBORNE DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662430",
            "telephone_number": "770-833-4685",
            "fax_number": "844-335-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SHILOH RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447194",
            "telephone_number": "470-227-0488",
            "fax_number": "844-335-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "PAULIN",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "770-833-4685",
        "authorized_official_credential": "MA 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 Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.