NPIMap

Organization Active NPI

Milestone Pediatrics LLC

  • Speech-Language Pathologist
  • Mesa, AZ
National Provider Identifier
1780828558
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MILESTONE PEDIATRICS LLC
Practice address
1830 S Alma School Rd
Suite 122
Mesa, AZ 85210
Phone
(480) 855-0474
Fax
(480) 907-6855
NPI assigned
Apr 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Nichelle Dean
Title
Director of Operations & Human Reso
Phone
(480) 855-0474

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X
Driving and Community Mobility Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224ZR0403X
Music TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225A00000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Driving and Community Mobility Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XR0403X
Speech-Language AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 2355S0801X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1830 S Alma School Rd
Suite 122
Mesa, AZ 85210

Mailing address

1830 S Alma School Rd
Suite 122
Mesa, AZ 85210
Phone (480) 855-0474

Other practice location 1

231 W Giaconda Way Ste 103
Tucson, AZ 85704-4341
Phone (148) 085-5047

Other practice location 2

600 W. Ray Rd
Ste D1
Chandler, AZ 85225-7264
Phone (480) 322-1928

Other identifiers 1

IdentifierTypeStateIssuer
494003MedicaidAZ

Other names 1

  • Milestone Innovative Therapy Group Doing business as

National Provider Directory

National Provider Directory

Locations

600 W Ray Rd
Ste D1
Chandler, AZ 85225
Phone (480) 322-1928

Practitioners & affiliated clinicians

Practitioners 3

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": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1780828558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD",
            "address_2": "SUITE 122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "480-855-0474",
            "fax_number": "480-907-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD",
            "address_2": "SUITE 122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "480-855-0474",
            "fax_number": "480-907-6855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 W Giaconda Way Ste 103",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857044341",
            "country_code": "US",
            "telephone_number": "148-085-5047",
            "fax_number": "480-907-6855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 W. Ray Rd",
            "address_2": "Ste D1",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852257264",
            "country_code": "US",
            "telephone_number": "480-322-1928",
            "fax_number": "480-907-6855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MILESTONE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "NICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS & HUMAN RESO",
        "authorized_official_telephone_number": "480-855-0474"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224ZR0403X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant, Driving and Community Mobility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494003",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milestone Innovative Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.