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

Miranda Jo Kerbawy, PT

Individual provider Physical Therapist · NPI 1538669239

Miranda Jo Kerbawy, PT is a Physical Therapist in Private Practice in El Segundo, California. Qualified in 2017, 9 years ago. Practices with Premier Rehabilitation, a 19-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2018
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

325 Main St
El Segundo, CA 90245-3814
Phone: (310) 648-3167
Fax: (310) 648-3175
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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 294488 (CA)

Record details

NPI number1538669239
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedFebruary 19, 2018
Last updated in NPPESFebruary 19, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Premier Rehabilitation — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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