Christian A Miranda

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1312942 Issued in TX

Practice address

8401 Datapoint Dr Ste 104
San Antonio, TX 78229-5900

Phone

(210) 979-7500

Fax

(210) 314-4609

NPI assigned

Dec 16, 2018

Last updated

Jun 15, 2021By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Momentum Physical & Sports Rehabilitation Limited Partnership

  • Physical Therapist
  • Helotes, TX
  • NPI 1871990275
  Medicare reassignment NPD
• Tricity Pain Associates PA

  dba Phase 4 Physiotherapy

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1619244720

  Physical Therapist

  Medicare reassignment NPD
• Tricity Pain Associates PA

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1235016486
  NPD
• Momentum Physical & Sports Rehabilitation Limited Partnership

  • Physical Therapist
  • Tampa, FL
  • NPI 1609243328
  NPD
• Tricity Pain Associates PA

  dba Phase 4 Physiotherapy

  • Physical Therapist
  • San Antonio, TX
  • NPI 1699412775
  NPD (past)

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1386115426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19141 STONE OAK PKWY STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583367",
            "telephone_number": "210-268-0129",
            "fax_number": "210-568-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295900",
            "telephone_number": "210-979-7500",
            "fax_number": "210-314-4609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20323 Huebner Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782583446",
            "country_code": "US",
            "telephone_number": "833-789-6757",
            "fax_number": "833-841-7131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "CHRISTIAN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-16",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1312942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "1312942",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcpa2@ppdxdirect.com",
            "affiliation": "Y",
            "endpointDescription": "Direct",
            "affiliationName": "Tricity Pain Associates PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8401 Datapoint Dr Ste 401",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782295925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcpa2@ppdxdirect.com",
            "affiliation": "Y",
            "affiliationName": "Tricity Pain Associates PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20323 Huebner Rd Ste 104",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782583446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mildred Miranda-Velazquez, LMSW
• Abel Miranda, PA
• Alyssa R Miranda, SLP
• Angela Tava Miranda, JD, MD, LPC
• Araceli Barbosa Miranda
• Edna Yanette Miranda
• Francisco Dimas Miranda Jr.
• Joel Miranda
• John A Miranda, LPC, LCDC
• Juanita Miranda

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.