Active NPI
Milestone Therapy PLLC
- Occupational Therapist
- Tumwater, WA
National Provider Identifier
1477292894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- MILESTONE THERAPY PLLC
- Practice address
- 1880 Barnes Blvd SW
Tumwater, WA 98512-1435 - Phone
- (316) 841-8528
- NPI assigned
- Jun 2, 2022
- 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
- Mindi Knudson, OT
- Title
- Owner, Occupational Therapist
- Phone
- (316) 841-8528
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
1880 Barnes Blvd SW
Tumwater, WA 98512-1435
Mailing address
4162 Grotto CT SW
Olympia, WA 98512-7824
Phone (316) 841-8528
National Provider Directory
National Provider DirectoryLocations
1880 Barnes Blvd SW
Tumwater, WA 98512
Phone (316) 841-8528
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Tumwater, WA
- NPI 1477884807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654128000000",
"number": "1477292894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4162 GROTTO CT SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985127824",
"telephone_number": "316-841-8528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 BARNES BLVD SW",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985121435",
"telephone_number": "316-841-8528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILESTONE THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-02",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A",
"authorized_official_last_name": "KNUDSON",
"authorized_official_first_name": "MINDI",
"authorized_official_title_or_position": "OWNER, OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "316-841-8528",
"authorized_official_credential": "OT"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.