Milestones Pediatric Therapy Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070016644 Issued in IL

Legal business name

MILESTONES PEDIATRIC THERAPY INC.

Practice address

802 Knottingham Dr
Ottawa, IL 61350-4224

Phone

(715) 712-8915

Fax

(815) 324-9107

NPI assigned

Jan 20, 2015

Organization subpart

No

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

Authorized official

Name

Katie Elissa Tarr, MPTNPI 1164665071

Title

Owner/Physical Therapist

Phone

(815) 712-8915

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katie Elissa Tarr, MPT

  • Physical Therapist
  • Ottawa, IL
  • NPI 1164665071
  NPD (past) Authorized official

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1437548039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 KNOTTINGHAM DR",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613504224",
            "telephone_number": "715-712-8915",
            "fax_number": "815-324-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 KNOTTINGHAM DR",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613504224",
            "telephone_number": "715-712-8915",
            "fax_number": "815-324-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES PEDIATRIC THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "TARR",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "ELISSA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "815-712-8915",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "070016644",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070016644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsi Mendez, PMHNP
• Vinita Menon, PH.D.
• Andrea Meyer, MA
• Midwest Emergency Northern Illinois Inc
• Marianne Mikat Stevens, MD
• Daniel Jon Miller, DC
• Nina Renee Miller, LCPC
• Thomas Wesley Miller, D.D.S.
• Miskell Medical LLC
• Jessica R Miskell, INDEPENDENT APN

• Physical Therapy Clinic/Center in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.