Organization Active NPI

Milestones Assistive Therapy Inc.

  • Early Intervention Provider Agency
  • Southfield, MI
National Provider Identifier
1972860153
Registry record updated Apr 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
5201002048 Issued in MI
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

Updated by the provider on Apr 5, 2015

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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

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

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.

Verify at the official NPI Registry.