Jean A Miranda, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

DAPT004191 Issued in PA

Practice address

30 N Sugan Rd
Suite 1C
New Hope, PA 18938-1893

Phone

(267) 614-4241

NPI assigned

Mar 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Core Performance and Rehabilitation

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1841467388
  NPD (past)
• Therapy Choice, LLC

  • Physical Therapist
  • Newtown, PA
  • NPI 1609887579
  NPD (past)

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1649397431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 CLYDESDALE DR",
            "city": "NEW HOPE",
            "state": "PA",
            "postal_code": "189385811",
            "telephone_number": "215-794-2067",
            "fax_number": "215-794-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N SUGAN RD",
            "address_2": "SUITE 1C",
            "city": "NEW HOPE",
            "state": "PA",
            "postal_code": "189381893",
            "telephone_number": "267-614-4241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "542 Clydesdale Dr",
            "address_purpose": "LOCATION",
            "city": "New Hope",
            "state": "PA",
            "postal_code": "189385811",
            "country_code": "US",
            "telephone_number": "267-614-4241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "JEAN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-25",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005400L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT004191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William C McCafferty, PT
• Christine N. McGinn, D.O.
• Shannon McGovern
• Maureen P McSorley, APN
• Kevin Michael Medican, M.S., L.P.C.
• Brian Dudley Mohr, M.D.
• Alemina Mujkovic
• Cynthia Jean Myers-Morrison, LMFT
• Garry Arthur Neil, M.D.
• Eric Louis Nestler, RPH

• Physical Therapist in New Hope, PA
• Providers in New Hope, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.