Fernando Miranda, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19662 Issued in FL

Practice address

4887 Lehto LN
Lake Worth, FL 33461-5338

Phone

(561) 317-1872

Fax

(561) 968-6692

NPI assigned

Feb 5, 2007

Sex

Male

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Effective Physical Therapy IncGroup PAC ID 2769580539, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Effective Physical Therapy Inc

  • Physical Therapist
  • Lake Worth, FL
  • NPI 1063630218
  Medicare reassignment Care Compare group NPD Authorized official
• Banyan Integrative Health Services, LLC

  • Physical Therapist
  • Palm Springs, FL
  • NPI 1821690066
  NPD Authorized official
• Seminole Tribe of Florida Health Department

  • Primary Care Clinic/Center
  • Okeechobee, FL
  • NPI 1750610325
  NPD
• Physical Therapy in Your Home Inc

  • Physical Therapy Clinic/Center
  • Boca Raton, FL
  • NPI 1356353437
  NPD (past)
• Trinity 5 Inc

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1326665084
  NPD (past)
• United Outreach Inc

  • Physical Therapist
  • Coral Springs, FL
  • NPI 1942319884
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861531956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4887 LEHTO LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334615338",
            "telephone_number": "561-317-1872",
            "fax_number": "561-968-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4887 LEHTO LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334615338",
            "telephone_number": "561-317-1872",
            "fax_number": "561-968-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "FERNANDO",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindworks Integrative Psychology, LLC
• Jennifer H Minogue, MSW, LCSW
• Minsou Medical Systems LLC
• Liorka Miqueo Quintana
• Miranda Care Center Corp
• Jaime Hernandez Miranda, OTR
• Tracy-Ann Patrice Miriki
• Candace Lynn Mirto, APRN
• Muhammad Aun Mirza
• Casandra Laporsha Mitchell, APRN

• Physical Therapist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.