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MILESTONE PEDIATRIC THERAPY, PC.
NPI 1821515305
Home Health in San Diego, CA

Active since August 25, 2017
5057 FRINK AVE, SAN DIEGO, CA 92117(757) 288-9512 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 20, 2018, Aug 25, 2017 (3 updates tracked since 2017).

About Milestone Pediatric Therapy, Pc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILESTONE PEDIATRIC THERAPY, PC. (NPI 1821515305) is a healthcare organization registered as a home health in San Diego, California and active in the NPI registry since August 2017. The organization lists Corey Summerlin Roan, Owner, as its authorized official.

NPPES Registry Identity

NPI1821515305
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMILESTONE PEDIATRIC THERAPY, PC.
Location Address5057 FRINK AVESan Diego, CA 92117-1212
Mailing Address5057 Frink AveSan Diego, CA 92117-1212 · (757) 288-9512
Phone(757) 288-9512
Organization SubpartNo
Authorized OfficialCorey Summerlin RoanOwner · (757) 288-9512
Enumeration DateAugust 25, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1821515305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
5057 FRINK AVE, San Diego, CA 92117
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Other Identifiers 1

Other12913CA · Occupational Therapist

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS COREY SUMMERLIN ROAN OTR/L
Occupational Therapist (Pediatrics)
5057 FRINK AVE
SAN DIEGO, CA 92117
San Diego County (757) 288-9512

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Milestone Pediatric Therapy, PC.'s NPI number?

The NPI number for Milestone Pediatric Therapy, PC. is 1821515305. It was assigned to this organization in the NPPES registry on August 25, 2017.

Where is Milestone Pediatric Therapy, PC. located?

Milestone Pediatric Therapy, PC. is located at 5057 Frink Ave, San Diego, CA 92117. The listed phone number is (757) 288-9512.

What is Milestone Pediatric Therapy, PC.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Milestone Pediatric Therapy, PC. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.