Milestone Marker Therapy Club

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

MILESTONE MARKER THERAPY CLUB

Practice address

747 Overlook Glen Dr
Lawrenceville, GA 30045-3306

Phone

(404) 736-2828

NPI assigned

Dec 31, 2019

Organization subpart

No

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

Authorized official

Name

Nadia Fofana

Title

Owner

Phone

(470) 736-2828

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1821637323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 SUNSET PARK DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 OVERLOOK GLEN DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453306",
            "telephone_number": "404-736-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE MARKER THERAPY CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-31",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "FOFANA",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-736-2828"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lauren Migliore, OT
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• Sesank Sai Mikkilineni, M.D.
• Drew Miles
• Takisha Miles
• Vandene Tamoy Miller-Adams, M.D.
• Akisha Miller
• Cedric Andre Miller Jr.
• Debra R Miller, MD
• Emily Miller, ATC

• Occupational Therapist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.