Lean Mario Paulo Vega Miranda, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01785900 Issued in NJ

Practice address

575 8TH Ave FL 6
New York, NY 10018-3158

Phone

(212) 221-1544

NPI assigned

May 8, 2018

Sex

Male

Sole proprietor

No

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

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Exemplary Home Therapy Services LLC

  • Rehabilitation Clinic/Center
  • Belleville, NJ
  • NPI 1235823311

  Physical Therapist

  Medicare reassignment NPD
• Functional Home Therapy Services LLC

  • Physical Therapist
  • Belleville, NJ
  • NPI 1053085092
  NPD
• TLC Forte Physical Therapy & Wellness Center LLC

  • Physical Therapy Clinic/Center
  • Jersey City, NJ
  • NPI 1013457647

  Physical Therapist

  NPD

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1194214759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GLENWOOD AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064601",
            "telephone_number": "551-216-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 8TH AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100183158",
            "telephone_number": "212-221-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "LEAN MARIO PAULO",
        "middle_name": "VEGA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01785900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Tutone Miranda, DDS
• JJ Miranda, L.M.T.
• Kristine Benito Miranda, DSW, LCSW
• Laura Miranda
• Laura N Miranda, PTR
• Maria F Miranda, LMSW
• Maria L. Miranda, O.D.
• Michelle Gonzalez Miranda, FNP-C
• Raquel Asheley Miranda, N.P
• Rodolfo Miranda, MD

• 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 May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.