Organization Active NPI

Sweethome Milestones Therapy Services,P.C.

  • Occupational Therapist
  • Elkhart, IN
National Provider Identifier
1740366186
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31002483A Issued in IN
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Andrew Matebejana Mashala, OTR/LNPI 1558657056
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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.