NPIMap

Organization Active NPI

Mini Milestones, LLC

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1508089590
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05006221A Issued in IN
Legal business name
MINI MILESTONES, LLC
Practice address
8506 Preservation Way
Indianapolis, IN 46278-9598
Phone
(317) 847-8217
Fax
(317) 328-1248
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Renee Rieser, P.T., M.S., P.C.S.NPI 1184847154
Title
Member-Manager
Phone
(317) 847-8217

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 05006221A IN Primary

Addresses

Primary practice location

8506 Preservation Way
Indianapolis, IN 46278-9598

Mailing address

8506 Preservation Way
Indianapolis, IN 46278-9598
Phone (317) 847-8217

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508089590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8506 PRESERVATION WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462789598",
            "telephone_number": "317-847-8217",
            "fax_number": "317-328-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8506 PRESERVATION WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462789598",
            "telephone_number": "317-847-8217",
            "fax_number": "317-328-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINI MILESTONES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIESER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "317-847-8217",
        "authorized_official_credential": "P.T., M.S., P.C.S."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05006221A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.