Healthcare Provider Details

I. General information

NPI: 1003530569
Provider Name (Legal Business Name): MILESTONES THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 11/28/2022
Certification Date: 11/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7230 W RIDGE RD
FAIRVIEW PA
16415-1166
US

IV. Provider business mailing address

10627 W PEACH ST
GIRARD PA
16417-9236
US

V. Phone/Fax

Practice location:
  • Phone: 814-449-7640
  • Fax:
Mailing address:
  • Phone: 814-449-7640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. JANET SUE NOLAND
Title or Position: CEO
Credential: MPT
Phone: 814-449-7640