Milestones Therapy Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MILESTONES THERAPY INC

Practice address

4200 N Pebble Creek Pkwy Apt 2072
Goodyear, AZ 85395-9029

Phone

(815) 603-8637

NPI assigned

Jan 2, 2020

Organization subpart

No

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

Authorized official

Name

Craig Martin

Title

Cfo

Phone

(815) 603-8637

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1669011060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N PEBBLE CREEK PKWY APT 2072",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959029",
            "telephone_number": "815-603-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N PEBBLE CREEK PKWY APT 2072",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959029",
            "telephone_number": "815-603-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "815-603-8637"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "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": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Goodyear, AZ
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• Speech-Language Pathologist in Arizona

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