Healthcare Provider Details

I. General information

NPI: 1033041611
Provider Name (Legal Business Name): MILESTONES MATTER PEDIATRIC THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4709 44TH ST STE 8
ROCK ISLAND IL
61201-7187
US

IV. Provider business mailing address

11827 6TH ST
MILAN IL
61264-3923
US

V. Phone/Fax

Practice location:
  • Phone: 605-520-1585
  • Fax:
Mailing address:
  • Phone: 605-520-1585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: ALEXIS A SKILES
Title or Position: OWNER
Credential: OTR/L
Phone: 605-520-1585