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

Miranda Kelinske, PT

Individual provider Specialist · NPI 1356643803

Miranda Kelinske, PT is a Physical Therapist in Private Practice in Larkspur, California. Qualified in 2005, 21 years ago. Practices with Active Therapy Group LLC, an 8-clinician group and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
21
Licensed in
CA, TX
In the registry since
2010
Specialties on file
2
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

5 Bon Air Rd
Larkspur, CA 94939-1143
Phone: (415) 924-8900
Fax: (205) 683-2468
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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 293158 (CA)
Specialist Taxonomy 174400000X · Licence 1178189 (TX)

Record details

NPI number1356643803
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedDecember 3, 2010
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Active Therapy Group Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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