Melissa Mirza, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

25766 Issued in MA

Practice address

801 Pleasant St
Brockton, MA 02301-3052

Phone

(508) 586-5977

NPI assigned

Aug 26, 2021

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

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 and National Provider Directory roles.

• Osp Children'S Therapy Center

  • Pediatric Occupational Therapist
  • Plymouth, MA
  • NPI 1427690247

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1447927306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BURKHALL ST APT 201",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021903572",
            "telephone_number": "508-431-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013052",
            "telephone_number": "508-586-5977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Industrial Park Rd",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023607243",
            "country_code": "US",
            "telephone_number": "774-608-7253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "MELISSA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MA",
            "license": "25766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna G. Miranda
• Luana Miranda
• Miray Medical Corp
• Carolyn Mires, PHD
• Joy Mirrione, LICSW
• Mission Possible Concierge Services
• Avery Mitchell
• Janaya Mitchell
• Jennifer Mitchell
• Kristen Forrest Mitchell

• Pediatric Physical Therapist in Brockton, MA
• Providers in Brockton, MA by specialty
• Pediatric Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.