Provider Demographics
NPI:1134258239
Name:MILESTONE REHABILITATION SERVICES INC
Entity type:Organization
Organization Name:MILESTONE REHABILITATION SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP CONTROLLER MILESTONE HEALTHCARE
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEASE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-926-2388
Mailing Address - Street 1:2501 CEDAR SPRINGS RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-1409
Mailing Address - Country:US
Mailing Address - Phone:800-926-2388
Mailing Address - Fax:214-981-2760
Practice Address - Street 1:2501 CEDAR SPRINGS RD
Practice Address - Street 2:SUITE 300
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-1409
Practice Address - Country:US
Practice Address - Phone:800-926-2388
Practice Address - Fax:214-981-2760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000879261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX456592Medicare ID - Type Unspecified