Miranda Jatindranath, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

915 Mar Walt Dr
Fort Walton Beach, FL 32547-6643

Phone

(850) 863-2225

NPI assigned

Oct 18, 2023

Last updated

Oct 18, 2023By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Stat Home Health Florida Panhandle, LLC

  • Home Health Agency
  • Pensacola, FL
  • NPI 1861782443
  NPD (past)

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1326820903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 EVANS ST",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781911",
            "telephone_number": "678-939-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476643",
            "telephone_number": "850-863-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JATINDRANATH",
        "first_name": "MIRANDA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James P Wilson MD
• Tanesha Jolanda Jamison
• Emily Janak
• Jane a Pratt Dba New Beginnings (New Beginnings)
• Jason W Thackeray MD PA
• Shantel Jay-Peterson, ITDS
• Jean Woo, DDS, P.a.
• Jennifer R Goette OD PA (Special-Eyes Vision Center)
• Jeremiah D. Patrick, D.M.D., P.a. (Patrick Endodontics)
• Devon N Jernigan, PT, DPT

• Physical Therapist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.