Active NPI
Miranda Grace Parry, PT, DPT
- Physical Therapist
- Wilkes Barre, PA
National Provider Identifier
1407552938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1086 Highway 315 Blvd
Wilkes Barre, PA 18702-7012 - Phone
- (570) 823-7761
- NPI assigned
- Feb 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1086 Highway 315 Blvd
Wilkes Barre, PA 18702-7012
Mailing address
340 Troxell Switch Rd
Dallas, PA 18612-2640
Phone (570) 704-8557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31776752 | Other | PA | DRIVER'S LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1086 Hwy 315 Blvd
Wilkes Barre, PA 18702-7012
Phone (570) 823-7761
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 4
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.
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- W Hazleton, PA
- NPI 1659457158
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1407552938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 TROXELL SWITCH RD",
"city": "DALLAS",
"state": "PA",
"postal_code": "186122640",
"telephone_number": "570-704-8557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 HIGHWAY 315 BLVD",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187027012",
"telephone_number": "570-823-7761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRY",
"first_name": "MIRANDA",
"middle_name": "GRACE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "31776752",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.