Milestones Speech Therapy LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MILESTONES SPEECH THERAPY LLC

Practice address

1966 Garrett Rd
Brandenburg, KY 40108-6343

Phone

(502) 648-7696

NPI assigned

Feb 18, 2020

Last updated

Feb 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Lynn FacklerNPI 1588054589

Title

Speech Language Pathologist

Phone

(502) 648-7696

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Susan Fackler

  • Speech-Language Pathologist
  • Brandenburg, KY
  • NPI 1588054589
  NPD Authorized official

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1932732070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 GARRETT RD",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401086343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 GARRETT RD",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401086343",
            "telephone_number": "502-648-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "FACKLER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "502-648-7696"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meade County Fiscal Court (Meade County Ambulance)
• Meade County Pediatrics PLLC
• Meade Family Eye, PLLC
• Meade Physicians, Inc. (Brandenburg Family Medicine)
• Medical Center Cardiologists, PSC
• Joseph Andrew Miller, D.M.D.
• Jessica Lynn Mills, APRN
• Christine Myers, APRN, FNP-C
• Kevin Nance, PT
• New Age Adult Day Services

• Early Intervention Provider Agency in Brandenburg, KY
• Providers in Brandenburg, KY by specialty
• Early Intervention Provider Agency in Kentucky

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