MILESTONES PEDIATRIC THERAPY, LLC (NPI# 1639645377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639645377 |
| Entity Type | Organization |
| Organization Name | MILESTONES PEDIATRIC THERAPY, LLC |
| Practice Address |
519 S Sims St Bainbridge GA 39819-4159 |
| Practice Telephone | 2292201890 |
| Practice Fax Number | 7062236778 |
| Mailing Telephone | 2292201890 |
| Mailing Fax Number | 7062236778 |
| Enumeration Date | 2018-10-20 |
| Last Update Date | 2018-10-20 |
| Authorized Official Name | JORDAN KAY (SPEECH-LANGUAGE PATHOLOGIST, OWNER) |
| Authorized Official Telephone | 2292201890 |
| Authorized Official Credential | CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003211062A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962811398 | Milestones Pediatric Therapy, LLC | Occupational Therapist | 10207 Stewart Dr, Eagle River, AK 99577-9509 | 2014-08-11 |
| 1376727545 | Milestones Pediatric Therapy, LLC | Developmental Therapist | 707 Skokie Blvd, Suite 600, Northbrook, IL 60062-2857 | 2007-12-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Milestones Pediatric Therapy, LLC | 434 Turner Dr., Unit 1, Durango, CO 81303-____ |
| Indiana Business Entities | MILESTONES PEDIATRIC THERAPY, LLC | 707 Skokie Blvd, Suite 600, Northbrook, IL 60062 |
| Street Address |
519 S SIMS ST |
| City | BAINBRIDGE |
| State | GA |
| Zip Code | 39819-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932535630 | Jordan Rae Kay | Speech-Language Pathologist | 519 S Sims St, Bainbridge, GA 39819-4159 | 2013-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841455599 | Dayna Malia Watson | Counselor | 410 West St., Bainbridge, GA 39819 | 2008-07-22 |
| 1740324342 | Jack Hobson Leverett Sr. | Dentist | 1515 Miluli Ave, Bainbridge, GA 39819 | 2007-02-16 |
| 1033212634 | Primary Care Inc | Family Medicine | 315 S Blvd Dr, Bainbridge, GA 39819 | 2006-09-07 |
| 1326060187 | Donald Ray Robinson | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2006-07-24 |
| 1255385126 | Linda Jones | Emergency Medicine | 1500 E. Shotwell St., Memorial Hospital & Manor, Bainbridge, GA 39819 | 2006-05-22 |
| 1962464578 | Lillian Ann Crews | Physical Therapy Assistant | 713 East Shotwell St, Bainbridge, GA 39819 | 2006-04-06 |
| 1134181738 | Rachel S Lauder | Physical Therapist | 713 E Shotwell Street, Bainbridge, GA 39819 | 2006-04-06 |
| 1275012015 | Lisa J Sellers | Nurse Practitioner | 509 Wheat Ave, Bainbridge, GA 39819 | 2018-08-13 |
| 1588186324 | Hospital Authority of The City of Bainbridge and Decatur County | Pharmacy | 1500 East Shotwell Street, Bainbridge, GA 39819 | 2017-07-13 |
| 1861531915 | Burke & Robinson Md PC | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2007-02-05 |
| Find all providers in zip 39819 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396925 | Brielle Lauren Hoagland | Speech-Language Pathologist | 7454 Us Route 50, Bainbridge, OH 45612 | 2019-09-25 |
| 1457774457 | Lori Phillips Temples | Speech-Language Pathologist | 100 S. West St., Bainbridge, GA 39817 | 2014-01-27 |
| 1629491626 | Diane W. Welch | Speech-Language Pathologist | 100 S. West Street, Bainbridge, GA 39817 | 2014-01-27 |
| 1932535630 | Jordan Rae Kay | Speech-Language Pathologist | 519 S Sims St, Bainbridge, GA 39819-4159 | 2013-09-25 |
| 1417096710 | Debra D Arthur | Speech-Language Pathologist | 7160 Chagrin Road, Suite 125, Bainbridge, OH 44023 | 2007-02-05 |
| 1891849568 | Hannah P. Hand | Speech-Language Pathologist | 502 S. Wheat Avenue, Bainbridge, GA 39819-4325 | 2007-01-22 |
| 1518022425 | Tanya Williams Clark | Speech-Language Pathologist | 100 South West St., Bainbridge, GA 39817 | 2006-12-22 |
| 1558321125 | Sylena Mosely Wiggins | Speech-Language Pathologist | 100 South West Street, Bainbridge, GA 39817 | 2006-03-27 |
| 1174583819 | Amanda Cochran | Speech-Language Pathologist | 713 E Shotwell St, Bainbridge, GA 39819-4063 | 2006-03-25 |
| 1194785469 | Winde Barber Farrington | Speech-Language Pathologist | 100 S. West St, Bainbridge, GA 39817 | 2006-03-23 |
| Find all providers in BAINBRIDGE | ||||
| City | BAINBRIDGE |
| Zip Code | 39819 |
Please comment or provide details below to improve the information on MILESTONES PEDIATRIC THERAPY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.