Miranda Lynn Tipton, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT021170 Issued in OH

Practice address

671 E Riverpark LN Ste 150
Boise, ID 83706-6559

Phone

(208) 912-6981

Fax

(208) 963-3065

NPI assigned

Jun 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miranda Gibel Former name

Medicare fee-for-service enrollment

Enrolled in OR, NC, ID3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maleki Physical Therapy ServicesGroup PAC ID 5092176545, 7 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.

• Maleki Physical Therapy Services

  • Physical Therapist
  • Boise, ID
  • NPI 1972291045
  Medicare reassignment Care Compare group NPD
• Edwards and Associates Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Beulaville, NC
  • NPI 1720670862

  Physical Therapist

  Medicare reassignment NPD
• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1184786527
  Medicare reassignment NPD
• Carolina Rehabilitation Inc

  dba Brunswick P.T. Associates, Edwards & Associates P.T.

  • Physical Therapist
  • Supply, NC
  • NPI 1427142561
  NPD
• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1649722034
  NPD
• Kaiser Foundation Health Plan of the Northwest

  • Clinic/Center
  • Hillsboro, OR
  • NPI 1942718622
  NPD

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1891539482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 E RIVERPARK LN STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066559",
            "telephone_number": "208-912-6981",
            "fax_number": "208-963-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 E RIVERPARK LN STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066559",
            "telephone_number": "208-912-6981",
            "fax_number": "208-963-3065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 S Bonito Way Ste 170",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836425618",
            "country_code": "US",
            "telephone_number": "208-912-6615",
            "fax_number": "208-561-7276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "MIRANDA",
        "middle_name": "LYNN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "CP032011T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT021170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "GIBEL",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicholas R Tinker, MSW, CADC
• Terry Alan Tippery, LCSW
• Benjamin M Tippets, D.O.
• Destini Tipton, PHARMD
• Emily Louise Tipton, MS, BCBA
• Taylor Ann Tipton, DNP, FNP-C
• Laura L Tirrell, MD
• Sarah Kimberly Tish, LMSW
• Catherine Tisler
• Stacey Titus, L.M.S.W

• Physical Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.