Organization Active NPI

Achieving Milestones Therapy, LLC

  • Pediatric Physical Therapist
  • Raleigh, NC
National Provider Identifier
1871880674
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
9736 Issued in NC
Legal business name
ACHIEVING MILESTONES THERAPY, LLC
Practice address
6105 Eaglesfield Dr
Raleigh, NC 27613-7860
Phone
(919) 900-7102
NPI assigned
Jun 30, 2011
Last updated
Jun 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Mrs. Meghan Soderblom, MPTNPI 1356489470
Title
Partner
Phone
(919) 900-7102

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
Pediatric Physical Therapist 2251P0200X 9736 NC Primary

Addresses

Primary practice location

6105 Eaglesfield Dr
Raleigh, NC 27613-7860

Mailing address

6105 Eaglesfield Dr
Raleigh, NC 27613-7860

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1871880674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 EAGLESFIELD DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276137860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 EAGLESFIELD DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276137860",
            "telephone_number": "919-900-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVING MILESTONES THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "SODERBLOM",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "919-900-7102",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "9736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.