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

Miranda Mussack, PT, DPT

Individual provider Physical Therapist · NPI 1578411575

Miranda Mussack, PT, DPT is a Physical Therapist in Private Practice in Laveen, Arizona. Qualified in 2025, 1 year ago. Practices with Spooner Physical Therapy and Hand Rehab, PC, a 200-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2026
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

5215 W Baseline Rd Ste 101
Laveen, AZ 85339-2943
Phone: (623) 219-4600
Fax: (623) 219-4601
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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 034596 (AZ)

Record details

NPI number1578411575
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMarch 17, 2026
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address5215 W Baseline Rd Ste 101, Laveen, AZ 85339-2943

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Spooner Physical Therapy And Hand Rehab, Pc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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