Milestones Pediatric Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MILESTONES PEDIATRIC THERAPY, LLC

Practice address

519 S Sims St
Bainbridge, GA 39819-4159

Phone

(229) 220-1890

Fax

(706) 223-6778

NPI assigned

Oct 20, 2018

Organization subpart

No

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

Authorized official

Name

Jordan Kay, CCC-SLPNPI 1932535630

Title

Speech-Language Pathologist, Owner

Phone

(229) 220-1890

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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

• Jordan Rae Kay, M.ED. CCC-SLP

  • Speech-Language Pathologist
  • Bainbridge, GA
  • NPI 1932535630
  NPD Authorized official

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

{
    "created_epoch": "1539993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539993600000",
    "number": "1639645377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S SIMS ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194159",
            "telephone_number": "229-220-1890",
            "fax_number": "706-223-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S SIMS ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194159",
            "telephone_number": "229-220-1890",
            "fax_number": "706-223-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-20",
        "last_updated": "2018-10-20",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST, OWNER",
        "authorized_official_telephone_number": "229-220-1890",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003211062A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Breckenridge McElyea, LPC
• Amanda McNease, SLP
• Jon Mallory McRae Sr., DDS
• Jon Mallory McRae Jr., M.D.
• Crystal Joy Micken, LPC, CRC
• Emilee Poppell Miller
• Gordon Chason Miller, M.D.
• Hannah Bius Miller, FNP-BC
• Rebekah Lynn Mills, LCSW
• Roger Lynn Mills, DMD

• Speech-Language Pathologist in Bainbridge, GA
• Providers in Bainbridge, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2018; 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.