Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Milestone Masters Pediatric Therapy Inc

Organization Occupational Therapist · NPI 1104503481

Milestone Masters Pediatric Therapy Inc is an Occupational Therapist in Annandale, Virginia. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3543 Ewell St
Annandale, VA 22003-1708
Phone: (703) 509-6109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1104503481
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Lyons — President · (703) 509-6109
NPI enumeratedJune 29, 2023
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023
Mailing address3543 Ewell St, Annandale, VA 22003-1708

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