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

Mirmon Troi Virgino De Vera, PT

Individual provider Physical Therapist · NPI 1073353546

Mirmon Troi Virgino De Vera, PT is a Physical Therapist in Private Practice in Norcross, Georgia. Qualified in 2020, 6 years ago. Practices with Agilitas USA, Inc, a 810-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Georgia.

Years since qualifying
6
Licensed in
CT, GA
In the registry since
2024
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

6050 Peachtree Pkwy Ste 410
Norcross, GA 30092-3337
Phone: (770) 441-1276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1580 Sawgrass Corporate Pkwy, Sunrise, FL 33323-2859 — (954) 739-4247

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT017580 (GA)
Physical Therapist Taxonomy 225100000X · Licence 12068 (CT)

Record details

NPI number1073353546
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 30, 2024
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Agilitas Usa, Inc — 810 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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