Healthcare Provider Details

I. General information

NPI: 1902422157
Provider Name (Legal Business Name): MILESTONE PEDIATRIC THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2020
Last Update Date: 10/09/2023
Certification Date: 10/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

695 S COLORADO BLVD STE 20
DENVER CO
80246-8010
US

IV. Provider business mailing address

7720 E BELLEVIEW AVE STE B106
GREENWOOD VILLAGE CO
80111-2612
US

V. Phone/Fax

Practice location:
  • Phone: 303-360-0727
  • Fax: 303-360-0758
Mailing address:
  • Phone: 303-437-4364
  • Fax: 303-223-3462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: TERRA RAE SCOTT
Title or Position: OWNER/PRESIDENT
Credential: MSPT
Phone: 303-437-4364