Provider Demographics
NPI:1093093841
Name:MILESTONES PEDIATRIC THERAPY, LLC
Entity Type:Organization
Organization Name:MILESTONES PEDIATRIC THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:BAILEY
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:970-903-0098
Mailing Address - Street 1:434 TURNER DR
Mailing Address - Street 2:UNIT 1
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81303-3419
Mailing Address - Country:US
Mailing Address - Phone:970-259-1774
Mailing Address - Fax:970-375-0057
Practice Address - Street 1:434 TURNER DR
Practice Address - Street 2:UNIT 1
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81303-3419
Practice Address - Country:US
Practice Address - Phone:970-259-1774
Practice Address - Fax:970-375-0057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-28
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2251P0200X, 235Z00000X
CO2175225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty