Individual provider Active NPI

Miranda Justine Tramison, DPT, PT

  • Physical Therapist
  • Westminster, CA
National Provider Identifier
1962227355
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307210 Issued in CA
Practice address
5455 Garden Grove Blvd Ste 100
Westminster, CA 92683-8201
Phone
(866) 303-9355
NPI assigned
Nov 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 307210 CA Primary

Addresses

Primary practice location

5455 Garden Grove Blvd Ste 100
Westminster, CA 92683-8201

Mailing address

1613 Rock Riv
Placentia, CA 92870-2626
Phone (714) 203-4508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241230002138 CA Practitioner - Physical Therapist in Private Practice 1850828039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Joint and Spine Medical Center IncGroup PAC ID 2163765298, 11 clinicians
Superior Joint and Spine Medical Center IncGroup PAC ID 1052655867, 9 clinicians

Practice addresses (Care Compare)

2029 W Orangewood Ave
Suite a
Orange, CA 92868-1951
Phone (714) 921-1546

5455 Garden Grove Blvd
Suite 100
Westminster, CA 92683-8201
Phone (866) 303-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Joint and Spine Medical Center Inc. CurrentSince Nov 7, 2024 Accepting new patients
Superior Joint and Spine Medical Center Inc. CurrentSince Nov 7, 2024 Accepting new patients
April Lopez Chiropractic. a Professional Corporation PastSince Nov 7, 2024 Accepting new patients

Locations

2029 W Orangewood Ave
Ste A
Orange, CA 92868
Phone (714) 385-9088

5455 Garden Grove Blvd
Ste 100
Westminster, CA 92683
Phone (414) 988-4203

Organizations & group practices 3

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": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1962227355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 ROCK RIV",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702626",
            "telephone_number": "714-203-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 GARDEN GROVE BLVD STE 100",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926838201",
            "telephone_number": "866-303-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAMISON",
        "first_name": "MIRANDA",
        "middle_name": "JUSTINE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.