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

Dr. Mira H Mariano, PT

Individual provider Physical Therapist · NPI 1205004041

Dr. Mira H Mariano, PT is a Physical Therapist in Private Practice in Norfolk, Virginia. Qualified in 1997, 29 years ago. Practices with Old Dominion University, a 13-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
29
Licensed in
VA
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

7419 Granby Street North Shore Sports & Physical Therapy
Norfolk, VA 23505
Phone: (757) 489-5820
Fax: (757) 489-5822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305005017 (VA)

Record details

NPI number1205004041
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 14, 2008
Last updated in NPPESFebruary 14, 2008

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Old Dominion University — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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