Active NPI
Milestones Assistive Therapy Inc.
- Early Intervention Provider Agency
- Southfield, MI
National Provider Identifier
1972860153
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
- 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
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 DirectoryNPI 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
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.