NPIMap

Organization Active NPI

Milestone Pediatric Therapy Services, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Jefferson, GA
National Provider Identifier
1679915284
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
OT004043 Issued in GA
Legal business name
MILESTONE PEDIATRIC THERAPY SERVICES, INC.
Practice address
510 Panther Drive
Jefferson, GA 30549
Phone
(706) 367-1141
Fax
(706) 932-0206
NPI assigned
Jul 24, 2013
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Mrs. Elizabeth Chambers, OTNPI 1922219633
Title
OT, Owner, Ceo
Phone
(706) 367-1141

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
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X OT004043 GA Primary

Addresses

Primary practice location

510 Panther Drive
Jefferson, GA 30549

Mailing address

526 Jefferson Walk
Jefferson, GA 30549-5573
Phone (706) 367-1141

Other identifiers 1

IdentifierTypeStateIssuer
372085900HMedicaidGA

National Provider Directory

National Provider Directory

Locations

740 Prince Ave
Athens, GA 30606
Phone (706) 548-4444

510 Panther Dr
Jefferson, GA 30549
Phone (706) 367-1141

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1679915284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 JEFFERSON WALK",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305495573",
            "telephone_number": "706-367-1141",
            "fax_number": "706-932-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 PANTHER DRIVE",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "30549",
            "telephone_number": "706-367-1141",
            "fax_number": "706-932-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE PEDIATRIC THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OT, OWNER, CEO",
        "authorized_official_telephone_number": "706-367-1141",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "GA",
            "license": "OT004043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372085900H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.