Active NPI
Joseph Michael Mirando, MSPT
- Physical Therapist
- Miami, FL
National Provider Identifier
1528124534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20125
- Practice address
- 1501 N.W. 4 Street
3Rd Floor Promonade
Miami, FL 33125 - Phone
- (305) 689-1700
- Fax
- (305) 644-3328
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- 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 | PT20125 | FL | Primary |
Addresses
Primary practice location
1501 N.W. 4 Street
3Rd Floor Promonade
Miami, FL 33125
Mailing address
13625 SW 73Rd CT
Palmetto Bay, FL 33158-1209
Phone (305) 271-1309
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT20125 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1528124534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13625 SW 73RD CT",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331581209",
"telephone_number": "305-271-1309",
"fax_number": "305-644-3328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N.W. 4 STREET",
"address_2": "3RD FLOOR PROMONADE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33125",
"telephone_number": "305-689-1700",
"fax_number": "305-644-3328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDO",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT20125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.