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

Matt M Miranda, PTA

Individual provider Physical Therapy Assistant · NPI 1902387202

Matt M Miranda, PTA is a Physical Therapy Assistant in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2018.

Licensed in
PA
In the registry since
2018
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

1919 Chestnut St Ste 104
Philadelphia, PA 19103-3456
Phone: (215) 564-1110
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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 TE011900 (PA)

Record details

NPI number1902387202
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 24, 2018
Last updated in NPPESAugust 24, 2018

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