Azalia Miranda, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22305 Issued in FL

Practice address

2990 US Highway 301 N
Ellenton, FL 34222-2008

Phone

(941) 721-1854

Fax

(941) 721-1859

NPI assigned

May 17, 2006

Last updated

Jan 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Azalia Miranda Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• About You Mobility LLC.

  • Durable Medical Equipment & Medical Supplies
  • Riverview, FL
  • NPI 1225743115
  NPD Authorized official
• About You Physical Therapy LLC

  • Physical Therapist
  • Riverview, FL
  • NPI 1134861511
  NPD Authorized official
• Club 50, LLC

  dba Fyzical

  • Physical Therapy Clinic/Center
  • Sarasota, FL
  • NPI 1386034825
  NPD (past)
• Rehabfirst Inc

  dba RehabFirst Physical Therapy

  • Physical Therapist
  • Bradenton, FL
  • NPI 1588754816
  NPD (past)
• Venice Rehab, LLC

  dba FYZICAL Therapy and Balance Centers

  • Physical Therapy Clinic/Center
  • Venice, FL
  • NPI 1447251947

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1881646529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15310",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342771310",
            "telephone_number": "941-749-1734",
            "fax_number": "941-749-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 US HIGHWAY 301 N",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342222008",
            "telephone_number": "941-721-1854",
            "fax_number": "941-721-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "AZALIA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "883054100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AZALIA",
            "last_name": "MIRANDA",
            "prefix": "MS.",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Matouk, PHDCAN
• Jamie McGuire, DMD
• Kammeako Nicole McNeil, MHC
• Meadow Direct Health (Meadow Primary Care)
• Karin Stefanie Miller
• Monica K Bedi MD PA (Dermatology Associates of Sarastota)
• Rajiv Motwani, DMD
• Rajsekhar Mukkamala, DDS
• Delynne Marie Murphy, D.O.
• John Marshall Nelson, M.D.

• Physical Therapist in Ellenton, FL
• Providers in Ellenton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.