Active NPI
Lona Miles, DT
- Developmental Therapist
- Brookland, AR
National Provider Identifier
1679920524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 115 Cherry St
Brookland, AR 72417-8839 - Phone
- (870) 819-8856
- Fax
- (870) 336-9055
- NPI assigned
- May 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
115 Cherry St
Brookland, AR 72417-8839
Mailing address
115 Cherry St
Brookland, AR 72417-8839
Phone (870) 819-8856
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211264742 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blooming Tree Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Brookland, AR
- NPI 1548639883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1679920524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 CHERRY ST",
"city": "BROOKLAND",
"state": "AR",
"postal_code": "724178839",
"telephone_number": "870-819-8856",
"fax_number": "870-336-9055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 CHERRY ST",
"city": "BROOKLAND",
"state": "AR",
"postal_code": "724178839",
"telephone_number": "870-819-8856",
"fax_number": "870-336-9055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "LONA",
"credential": "DT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-20",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211264742",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookland, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.