Active NPI
Milestones Assistive Therapy Inc.
- Early Intervention Provider Agency
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 5201002048
- Legal business name
- MILESTONES ASSISTIVE THERAPY INC.
- Practice address
- 30170 Woodgate Dr
Southfield, MI 48076-5379 - Phone
- (248) 789-0232
- NPI assigned
- Apr 12, 2012
- Last updated
- Apr 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Pierce Tibbs, OTR/L
- Title
- President
- Phone
- (248) 789-0232
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Early Intervention Provider Agency | 252Y00000X | 5201002048 | MI | Primary |
| Children's Rehabilitation Hospital | 283XC2000X | 5201002048 | MI |
Addresses
Primary practice location
30170 Woodgate Dr
Southfield, MI 48076-5379
Mailing address
30170 Woodgate Dr
Southfield, MI 48076-5379
Phone (248) 789-0232
National Provider Directory
National Provider DirectoryLocations
23077 Greenfield Rd
Ste 205
Southfield, MI 48075
Phone (248) 557-5070
Practitioners & affiliated clinicians
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.
-
- Occupational Therapist
- Southfield, MI
- NPI 1497024657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428192000000",
"number": "1972860153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30170 WOODGATE DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480765379",
"telephone_number": "248-789-0232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30170 WOODGATE DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480765379",
"telephone_number": "248-789-0232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILESTONES ASSISTIVE THERAPY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-12",
"last_updated": "2015-04-05",
"status": "A",
"authorized_official_last_name": "TIBBS",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "PIERCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-789-0232",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "MI",
"license": "5201002048",
"primary": true
},
{
"code": "283XC2000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital, Children",
"state": "MI",
"license": "5201002048",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
- David C Milburn, PTA
- Stacy Milburn
- Saliah Miles, DDS
- Steven Franklin Miles, MD
- Veronica Jean Miles, M.D.
- Milestones Pediatric Physical Therapy
- Millenium Advanced Pain Management & Therapy
- Millennial Infusion Centers Inc
- Millennium Dentistry PLLC (Millennium Dentistry)
- Millennium Home Health Care, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.