Healthcare Provider Details

I. General information

NPI: 1861312134
Provider Name (Legal Business Name): MILESTONES PEDIATRIC PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 REDWOOD RD
SPRINGFIELD NJ
07081-2423
US

IV. Provider business mailing address

57 REDWOOD RD
SPRINGFIELD NJ
07081-2423
US

V. Phone/Fax

Practice location:
  • Phone: 201-341-1309
  • Fax:
Mailing address:
  • Phone: 201-341-1309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MIRYAM SMILOW
Title or Position: OWNER
Credential: PT, DPT
Phone: 201-341-1309