Miranda Reeverts, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05014243A Issued in IN

Practice address

212A Dale Haven Dr
Vincennes, IN 47591-6106

Phone

(812) 774-2538

NPI assigned

Nov 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1043975410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212A DALE HAVEN DR",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475916106",
            "telephone_number": "812-774-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212A DALE HAVEN DR",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475916106",
            "telephone_number": "812-774-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVERTS",
        "first_name": "MIRANDA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014243A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raintree Consulting, LLC
• Anastasia Leigh Ralston
• Stanley Raptis, MB, BCH, BAO
• Ujwal Raut, MBBS
• Nicole Read, LSW
• Maradee Lynn Regan, PTA
• Brittany Elizabeth Reid, DO
• Renal Life Link Inc
• Restoration Acupuncture Center
• Camilette Rhea, LMT

• Physical Therapist in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.