Miranda E Cobo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

051046 Issued in NY

Practice address

425 Meyer Rd
West Seneca, NY 14224-1954

Phone

(716) 563-4811

Fax

(716) 217-6332

NPI assigned

Oct 11, 2023

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

State University of New York at Buffalo School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western New York Fitness Rehabilitation PT PLLCGroup PAC ID 4082011275, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Western New York Fitness Rehabilitation, PT, PLLC

  • Physical Therapy Clinic/Center
  • West Seneca, NY
  • NPI 1891391199

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Western New York Fitness Rehabilitation, PT, PLLC

  • Physical Therapy Clinic/Center
  • West Seneca, NY
  • NPI 1447863824
  NPD

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1801677299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MEYER RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241954",
            "telephone_number": "716-563-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MEYER RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241954",
            "telephone_number": "716-563-4811",
            "fax_number": "716-217-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBO",
        "first_name": "MIRANDA",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Anne Clark, LMT
• Michelle Clark, MA
• Clear Choice Hearing Associates
• David S Clifford, M.D.
• Maryanne Closson, RPH
• Katie Marie Coco Martinez, LMT
• Lynette Marie Coffelt
• Kara Jean Colburn, BSN, RN, RNFA, CST
• Rachel Colegrove, OTR
• Thomas Coleman, PT, DPT

• Physical Therapist in West Seneca, NY
• Providers in West Seneca, 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 Oct 11, 2023; 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.