Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jesus C. Miranda, PT, DPT, OCS

Individual provider Orthopedic Physical Therapist · NPI 1639359961

Jesus C. Miranda, PT, DPT, OCS is a Physical Therapist in Private Practice in Clackamas, Oregon. Qualified in 2001, 25 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
25
Licensed in
OR
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

10151 SE Sunnyside Rd Ste 310
Clackamas, OR 97015-6913
Phone: (503) 496-1058
Fax: (888) 675-5282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 5547 (OR)

Record details

NPI number1639359961
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , OCS
Sole proprietorYes
NPI enumeratedNovember 3, 2007
Last updated in NPPESDecember 16, 2009

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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