Kimberley Miranda, MSPT, MBA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

034593 Issued in NY

Practice address

99 Moore St
Suite 1a
Brooklyn, NY 11206-3329

Phone

(718) 387-0555

Fax

(718) 387-0033

NPI assigned

Mar 15, 2016

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Org Medical PLLCGroup PAC ID 7315016250, 7 clinicians

La Salud Physical Therapy PLLCGroup PAC ID 4789152422, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

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.

• Org Medical PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Brooklyn, NY
  • NPI 1053583682
  Medicare reassignment Care Compare group NPD
• La Salud Physical Therapy PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1194667444
  Medicare reassignment Care Compare group NPD (past)
• Bukhman MD PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1013025782
  NPD (past)

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1669833869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 BELMONT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126705",
            "telephone_number": "718-566-8277",
            "fax_number": "718-566-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MOORE ST",
            "address_2": "SUITE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112063329",
            "telephone_number": "718-387-0555",
            "fax_number": "718-387-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "KIMBERLEY",
        "credential": "MSPT, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Ramon Miranda
• Catherine Reed Miranda, OT/L
• Damaris Miranda, PSYD, LMSW
• Jacqueline Miranda
• Jesus C Miranda, M.D.
• Maria Rowena D Miranda, NP
• Nataliia Miranda
• Rachel Anne Miranda
• Tyler Miranda, DPM
• Wilson Miranda

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.

Verify at the official NPI Registry.