Active NPI
Sweethome Milestones Therapy Services,P.C.
- Occupational Therapist
- Elkhart, IN
National Provider Identifier
1740366186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31002483A
- Legal business name
- SWEETHOME MILESTONES THERAPY SERVICES,P.C.
- Practice address
- 56836 Meadowood Dr
Elkhart, IN 46516-5838 - Phone
- (574) 523-1418
- Fax
- (574) 293-9908
- NPI assigned
- Oct 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrew Matebejana Mashala, OTR/L
- Title
- President
- Phone
- (574) 293-9907
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31002483A | IN | Primary |
Addresses
Primary practice location
56836 Meadowood Dr
Elkhart, IN 46516-5838
Mailing address
56836 Meadowood Dr
Elkhart, IN 46516-5838
Phone (574) 523-1418
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Elkhart, IN
- NPI 1558657056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740366186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56836 MEADOWOOD DR",
"city": "ELKHART",
"state": "IN",
"postal_code": "465165838",
"telephone_number": "574-523-1418",
"fax_number": "574-293-9908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56836 MEADOWOOD DR",
"city": "ELKHART",
"state": "IN",
"postal_code": "465165838",
"telephone_number": "574-523-1418",
"fax_number": "574-293-9908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEETHOME MILESTONES THERAPY SERVICES,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MASHALA",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "MATEBEJANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "574-293-9907",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31002483A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.