Milestones & Movement Pediatric Physical Therapy, LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

MILESTONES & MOVEMENT PEDIATRIC PHYSICAL THERAPY, LLC

Practice address

206 Calm Water Way
Summerville, SC 29486-6902

Phone

(516) 528-5120

NPI assigned

Jul 6, 2020

Organization subpart

No

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

Authorized official

Name

Marissa Slate, PT, DPT, PCSNPI 1306298443

Title

Owner/Shareholder

Phone

(516) 528-5120

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marissa Slate, PT, DPT

  • Pediatric Physical Therapist
  • Ladson, SC
  • NPI 1306298443

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1982221016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CALM WATER WAY",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294866902",
            "telephone_number": "516-528-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CALM WATER WAY",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294866902",
            "telephone_number": "516-528-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES & MOVEMENT PEDIATRIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "SLATE",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OWNER/SHAREHOLDER",
        "authorized_official_telephone_number": "516-528-5120",
        "authorized_official_credential": "PT, DPT, PCS"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MG Physio LLC
• Michael Hopkins MD PC
• Michael Michel, M.D.
• Midwest Neurophysiology Associates, LLC
• Lauren Elizabeth Mihalek, DPT
• Georgia Miller, PA-C
• Karl Scott Miller, MD
• Lindsey Marie Miller, PHARMD
• Margaret Lynne Miller, PA-C
• Steven E Miller

• Pediatric Physical Therapist in Summerville, SC
• Providers in Summerville, SC by specialty
• Pediatric Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.