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

Miranda Ballard, PT, DPT

Individual provider Physical Therapist · NPI 1568711893

Miranda Ballard, PT, DPT is a Physical Therapist in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
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

179 SW 5th Ave
Meridian, ID 83642
Phone: (208) 367-8282
Fax: (208) 367-8288
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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 PT-3012 (ID)

Record details

NPI number1568711893
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 31, 2012
Last updated in NPPESJune 4, 2020
Certification dateJune 4, 2020

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