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

Miranda Rysiewicz, PT, DPT

Individual provider Physical Therapist · NPI 1407577661

Miranda Rysiewicz, PT, DPT is a Physical Therapist in Private Practice in Saint Clair Shores, Michigan. Graduated from University of Michigan Medical School in 2022, 4 years ago. Practices with Plymouth Physical Therapy Specialists Limited Partnership, a 67-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2022
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

30122 Harper Ave
Saint Clair Shores, MI 48082-1642
Phone: (586) 359-2487
Fax: (586) 359-2343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 35376 Van Dyke Ave, Sterling Heights, MI 48312-3514 — (800) 974-4378

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501301903 (MI)

Record details

NPI number1407577661
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 7, 2022
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025
Mailing address9368 N Lilley Rd, Plymouth, MI 48170-4610

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2022 (4 years in practice)
Group practice Plymouth Physical Therapy Specialists Limited Partnership — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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