Miranda Andrecheck

Individual provider Active NPI Other Technician · Branford, CT

NPI 1831045129 · NPPES record last updated Mar 9, 2026

Key facts

NPI
1831045129
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
License
1902 (CT)
Practice address
251 W Main St
Branford, CT 06405-4047
Phone
(203) 710-0583
NPI assigned
Mar 9, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1902CTMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Group: 193200000X MULTI-SPECIALTY GROUP
225500000X
Other Technician 247200000X 1902 CT Yes

Addresses

Primary practice location

251 W Main St
Branford, CT 06405-4047

Mailing address

251 W Main St
Branford, CT 06405-4047
Phone (203) 710-0583

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 9, 2026.

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1831045129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 W MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054047",
            "telephone_number": "203-710-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 W MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054047",
            "telephone_number": "203-710-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRECHECK",
        "first_name": "MIRANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "CT",
            "license": "1902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

All providers in Branford, CT · Other Technician in Connecticut

Sources for this page

Verify at the official NPI Registry.