Miranda Jasienowski, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22072 Issued in MA

Practice address

124 Myron St
West Springfield, MA 01089-1420

Phone

(413) 781-7538

Fax

(413) 781-0982

NPI assigned

Feb 2, 2016

Last updated

May 3, 2017By the provider in NPPES

Sex

Female

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 CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anb-Ptsma Holdings IncGroup PAC ID 4789572926, 190 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anb-Ptsma Holdings, Inc.

  dba Physical Therapy & Sports Medicine Centers

  • Physical Therapist
  • West Hartford, CT
  • NPI 1659453371
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1235597535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MYRON ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891420",
            "telephone_number": "413-781-7538",
            "fax_number": "413-781-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASIENOWSKI",
        "first_name": "MIRANDA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J & L Medical Services, LLC
• Cris Martin Pacis Jacoba, MD
• Theresa James, LICSW
• Janice Yanni, DDS, PC
• Jean Jaoude, MD
• Hillary Jellison
• Renata Lepecki Jenco, M.A.
• Zachariah E Jenkins
• Lucille M. Jerome, MSW, LICSW
• Piyush R Johari, M.D.

• Physical Therapist in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.