Individual provider Active NPI

Miranda Leigh Bednar, MSPT

  • Physical Therapist
  • Harrisburg, PA
National Provider Identifier
1053424804
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018168 Issued in PA
Practice address
2850 Commerce Dr
Suite 100
Harrisburg, PA 17110-9383
Phone
(717) 541-4348
Fax
(717) 541-9576
NPI assigned
Aug 16, 2006
Last updated
Mar 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT018168 PA Primary

Addresses

Primary practice location

2850 Commerce Dr
Suite 100
Harrisburg, PA 17110-9383

Mailing address

4622 Harwich Rd
Harrisburg, PA 17109-1605
Phone (717) 671-1004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060822000321 PA Practitioner - Physical Therapist in Private Practice 4082617592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access PT PennsylvaniaGroup PAC ID 6507214707, 15 clinicians

Practice addresses (Care Compare)

290 E Pomfret St
Carlisle, PA 17013-2579
Phone (717) 229-0121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT018168PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Access PT Pennsylvania Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Access PT Pennsylvania Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

16 Maybrook Rd
Ste H
Campbell Hall, NY 10916

290 E Pomfret St
Carlisle, PA 17013
Phone (717) 229-0121

290 E Pomfret St
Ste 1
Carlisle, PA 17013
Phone (717) 245-0400

119 Aster Dr
Ste 103
Harrisburg, PA 17112
Phone (717) 541-4348

156 Cumberland Pkwy
Mechanicsburg, PA 17055
Phone (717) 229-0373

156 Cumberland Pkwy
Ste 200
Mechanicsburg, PA 17055
Phone (717) 697-6600

4 Flowers Dr
Ste 1
Mechanicsburg, PA 17050
Phone (717) 219-3240

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1053424804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 HARWICH RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171091605",
            "telephone_number": "717-671-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 COMMERCE DR",
            "address_2": "SUITE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109383",
            "telephone_number": "717-541-4348",
            "fax_number": "717-541-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDNAR",
        "first_name": "MIRANDA",
        "middle_name": "LEIGH",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.