Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alfred Alexis Balleza Miranda

Individual provider Physical Therapist · NPI 1285474759

Alfred Alexis Balleza Miranda is a Physical Therapist in Private Practice in Lithonia, Georgia. Qualified in 2020, 6 years ago. Practices with Benchmark Physical Therapy, Inc, a 71-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Georgia.

Years since qualifying
6
Licensed in
CT, GA
In the registry since
2024
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3007 Panola Rd Ste C
Lithonia, GA 30038-2492
Phone: (770) 987-1122
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1580 Sawgrass Corporate Pkwy Ste 320, Sunrise, FL 33323-2859 — (470) 359-0659

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT017569 (GA)
Physical Therapist Taxonomy 225100000X · Licence 012126 (CT)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1285474759
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 30, 2024
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Benchmark Physical Therapy, Inc — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Lithonia