Individual provider Active NPI

Miranda Mieyal, P.T.

  • Physical Therapist
  • Seven Hills, OH
National Provider Identifier
1467483537
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9377 Issued in OH
Practice address
5700 Lombardo Ctr
Rock Run North; Suite 205
Seven Hills, OH 44131-2540
Phone
(216) 447-1149
Fax
(216) 520-3574
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9377 OH Primary

Addresses

Primary practice location

5700 Lombardo Ctr
Rock Run North; Suite 205
Seven Hills, OH 44131-2540

Mailing address

6403 Alber Ave
Parma, OH 44129-3409
Phone (440) 884-2574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9377OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Services, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467483537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6403 ALBER AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441293409",
            "telephone_number": "440-884-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 LOMBARDO CTR",
            "address_2": "ROCK RUN NORTH; SUITE 205",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441312540",
            "telephone_number": "216-447-1149",
            "fax_number": "216-520-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIEYAL",
        "first_name": "MIRANDA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "9377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seven Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.