Healthcare Provider Details

I. General information

NPI: 1861554149
Provider Name (Legal Business Name): MILESTONES THERAPY CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8130 66TH ST SUITE #12
PINELLAS PARK FL
33781-2111
US

IV. Provider business mailing address

8130 66TH ST SUITE #12
PINELLAS PARK FL
33781-2111
US

V. Phone/Fax

Practice location:
  • Phone: 727-541-2091
  • Fax: 727-545-0503
Mailing address:
  • Phone: 727-541-2091
  • Fax: 727-545-0503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. PEGGY J SHAW
Title or Position: OWNER
Credential: OT
Phone: 727-541-2091