Individual provider Active NPI

Caleb Miraglia, PT

  • Orthopedic Physical Therapist
  • Capitola, CA
National Provider Identifier
1952948028
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
297912 Issued in CA
Practice address
1350 41St Ave Ste 100
Capitola, CA 95010-3934
Phone
(831) 706-2085
NPI assigned
Dec 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 297912 CA Primary

Addresses

Primary practice location

1350 41St Ave Ste 100
Capitola, CA 95010-3934

Mailing address

PO Box 31396
Walnut Creek, CA 94598-8396
Phone (925) 939-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MA, NH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200309002139 CA Practitioner - Physical Therapist in Private Practice 6204263882 Reassigns benefits to 3 organizations
I20240913002639 MA Practitioner - Physical Therapist in Private Practice 6204263882 Reassigns benefits to 1 organization
I20260427003084 NH Practitioner - Physical Therapist in Private Practice 6204263882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians
Ivyrehab New Hampshire LLCGroup PAC ID 0648711028, 3 clinicians

Practice addresses (Care Compare)

1343 Boston Providence Tpke
Norwood, MA 02062-5055
Phone (781) 702-1339

375 Faunce Corner Rd
Suite C
North Dartmouth, MA 02747-1258
Phone (774) 425-7911

493 Amherst St
Suite P
Nashua, NH 03063-1270
Phone (603) 314-8175

51 Commerce Way
Suite 3
Plymouth, MA 02360-7252
Phone (508) 830-0093

703 Granite St
Suite 300
Braintree, MA 02184-5350
Phone (781) 961-3370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthonorcal, Inc. CurrentSince Feb 15, 2021 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Aug 13, 2022 Accepting new patients
Western Physical Therapy, Inc. CurrentSince Jan 13, 2020 Accepting new patients
Bay State Physical Therapy of Randolph Inc CurrentSince Sep 6, 2024 Accepting new patients
Bay State Physical Therapy of Randolph Inc CurrentSince Sep 6, 2024 Accepting new patients
Golden State Orthopedics & Spine Current Accepting new patients
Western Physical Therapy, Inc. Orthopedic Current Accepting new patients
Western Physical Therapy, Inc. CurrentSince Jan 13, 2020 Accepting new patients
Orthonorcal Inc CurrentSince Feb 15, 2021 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Aug 13, 2022 Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Locations

1350 41st Ave
Ste 100
Capitola, CA 95010
Phone (831) 706-2085

4140 Jade St
Ste 100
Capitola, CA 95010
Phone (831) 475-4024

10255 Live Oak Blvd
Live Oak, CA 95953
Phone (530) 695-3700

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

703 Granite St
Ste 3
Braintree, MA 02184

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

Interoperability endpoints

  • Direct secure messaging: caleb.miraglia.p2@direct.muirortho.nextgenshare.com
  • Direct secure messaging: caleb.miraglia.p1@direct.orthonorcal.nextgenshare.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1575676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1952948028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31396",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945988396",
            "telephone_number": "925-939-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 41ST AVE STE 100",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103934",
            "telephone_number": "831-706-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRAGLIA",
        "first_name": "CALEB",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-07",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "297912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.