Adrian Miranda, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

032963-1 Issued in NY

Practice address

897 Broadway
Lower Level
New York, NY 10003-1205

Phone

(212) 673-7878

Fax

(212) 674-7878

NPI assigned

Apr 24, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)
• Integrated Rehabilitation Services Limited Partnership

  • Physical Therapist
  • Vernon, CT
  • NPI 1346969532
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1043485725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 AUDUBON AVE",
            "address_2": "APT 4A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100338344",
            "telephone_number": "212-673-7878",
            "fax_number": "212-674-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 BROADWAY",
            "address_2": "LOWER LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031205",
            "telephone_number": "212-673-7878",
            "fax_number": "212-674-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "ADRIAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "08308",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032963-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Nicole Miranda Milan, PHARMD
• Teresita Macalling Miranda Visaya, RPH
• Ivettedari Miranda-Capella, OTR/L
• Gerardo Enrique Miranda-Comas, M.D.
• Juana Miranda-Lopez, LMSW
• Alicia Miranda
• Amy Miranda, LCSW
• Carlos Miranda, DDS
• Caroline Miranda, MD
• Chantele Miranda, PHARM.D

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.