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Contact Information

MILESTONE PEDIATRICS LLC
1830 S ALMA SCHOOL RD
SUITE 122
MESA, AZ85210
 Phone: 480-855-0474
 Fax: 480-907-6855
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Driving & Community Mobility

224ZR0403X
 

Driving and Community Mobility

225XR0403X 67 Occupational Therapist in Private Practice
 

Music Therapist

225A00000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Occupational Therapy Assistant

224Z00000X
 

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Speech-Language Assistant

2355S0801X
Indicates primary specialty

NPI Profile & details for MILESTONE PEDIATRICS LLC

NPI Number 1780828558
LBN Legal business name MILESTONE PEDIATRICS LLC
Authorized official NICHELLE DEAN - (DIRECTOR OF OPERATIONS & HUMAN RESO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2009
Last updated 05/18/2023 - About 3 years ago
Identifiers
AZ Medicaid 494003
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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