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

Jamie Rizza Antig Mira

Individual provider Physical Therapist · NPI 1275402406

Jamie Rizza Antig Mira is a Physical Therapist in Private Practice in Woodside, New York. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

7021 Calamus Ave
Woodside, NY 11377-7623
Phone: (917) 733-1681
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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 039749 (NY)

Record details

NPI number1275402406
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 4, 2025
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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