NPIMap

Organization Active NPI

Milestone Rehabilitation, LLC

  • Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1528310604
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MILESTONE REHABILITATION, LLC
Practice address
1701 Grant Avenue
Philadelphia, PA 19115-3160
Phone
(215) 856-7623
Fax
(215) 969-2736
NPI assigned
Oct 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Authorized official

Name
Mrs. Elena Platonova
Title
Director of Finance
Phone
(215) 464-3838

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 807427 PA
Clinic/Center 261Q00000X Primary
Methadone Clinic 261QM2800X 807427 PA
Methadone Clinic 261QM2800X

Addresses

Primary practice location

1701 Grant Avenue
Philadelphia, PA 19115-3160

Mailing address

1701 Grant Avenue
Philadelphia, PA 19115-3160
Phone (215) 856-7623

National Provider Directory

National Provider Directory

Locations

1701 Grant Ave
Philadelphia, PA 19115
Phone (215) 464-3838

Practitioners & affiliated clinicians

Practitioners 9

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": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1528310604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 GRANT AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153160",
            "telephone_number": "215-856-7623",
            "fax_number": "215-969-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 GRANT AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153160",
            "telephone_number": "215-856-7623",
            "fax_number": "215-969-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "PLATONOVA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "215-464-3838",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "807427",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "PA",
            "license": "807427",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.