Individual provider · Type 1 NPI

Matt M. Miranda, PTA

Physical Therapy Assistant · Philadelphia, PA

NPI number 1902387202 Active

Practice location

1919 Chestnut St Ste 104
Philadelphia, PA 19103-3456

Call (215) 564-1110 Map

Mailing address

805 N Lawrence St
Philadelphia, PA 19123-2109

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XTE011900 (PA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1902387202

Matt M. Miranda, PTA's National Provider Identifier is 1902387202, issued on Aug 24, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 24, 2018.