Amanda Rae Miranda

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL016636 Issued in PA

Practice address

1019 Egypt Rd Unit 2B
Phoenixville, PA 19460-1111

Phone

(484) 214-5550

NPI assigned

Mar 4, 2025

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

Other names 1

• Amanda Rae Berger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Theraplay, LLC

  • Clinic/Center
  • West Chester, PA
  • NPI 1982032793
  NPD (past)

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1366240459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 E SCHUYLKILL RD APT 128",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194651220",
            "telephone_number": "732-552-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 EGYPT RD UNIT 2B",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194601111",
            "telephone_number": "484-214-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "AMANDA",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL016636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BERGER",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Surayya Millar, DO
• Eric B Miller, PH.D.
• Gina Miller
• Lynn Miller, M.A.
• Daniel Minukhin, DO
• Sonia L Mitchell
• Therese Mitchell
• MJ6 Enterprises PC (Wintersteen Foot and Ankle Associates)
• Yoon Suh Moh, PH.D., LPC, BCN
• Maheen S Mohammad, DO

• Speech-Language Pathologist in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.