Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Kelly Miranda, PA-C, MPT

Individual provider Physical Therapist · NPI 1578671558

MS. Kelly Miranda, PA-C, MPT is a Physician Assistant in Moreno Valley, California. Qualified in 2014, 12 years ago. Practices with De Anza Orthopedic Medical Group Inc, an 18-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone: (951) 486-4698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 52008 (CA)
Physical Therapist Taxonomy 225100000X · Licence PT23425 (CA)

Record details

NPI number1578671558
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MPT
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESOctober 16, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice De Anza Orthopedic Medical Group Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Moreno Valley