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

Dominique Nicole Miranda, PTA

Individual provider Physical Therapy Assistant · NPI 1376347609

Dominique Nicole Miranda, PTA is a Physical Therapy Assistant in Chula Vista, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2437 Fenton St Ste B
Chula Vista, CA 91914-3517
Phone: (619) 361-5409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 53473 (CA)

Record details

NPI number1376347609
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 3, 2025
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025

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