NPIMap

Organization Active NPI

Milestones Childrens Therapy Center

  • Early Intervention Provider Agency
  • Sanford, FL
National Provider Identifier
1609531813
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
MILESTONES CHILDRENS THERAPY CENTER
Practice address
111 East Lake Mary Blvd.
Sanford, FL 32773
Phone
(407) 203-9492
NPI assigned
Nov 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Miss Jehan Fereste Munoz, SLPA
Title
Speech Language Pathology Assistant
Phone
(407) 267-4060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

111 East Lake Mary Blvd.
Sanford, FL 32773

Mailing address

111 East Lake Mary Blvd
Sanford, FL 32773
Phone (407) 203-9492

Other identifiers 1

IdentifierTypeStateIssuer
767101925MedicaidFL

National Provider Directory

National Provider Directory

Locations

111 E Lake Mary Blvd
Sanford, FL 32773
Phone (407) 203-9492

Practitioners & affiliated clinicians

Practitioners 6

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": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1609531813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EAST LAKE MARY BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "32773",
            "telephone_number": "407-203-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EAST LAKE MARY BLVD.",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "32773",
            "telephone_number": "407-203-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES CHILDRENS THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "JEHAN",
        "authorized_official_middle_name": "FERESTE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGY ASSISTANT",
        "authorized_official_telephone_number": "407-267-4060",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "SLPA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767101925",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.