| Michele Kathleen Miranda, | |
|
804 Towne Park Dr Ste 400, Rincon, GA 31326-5153 | |
| (912) 826-5450 | |
| (912) 826-6413 |
| Full Name | Michele Kathleen Miranda |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 33 Years |
| Location | 804 Towne Park Dr Ste 400, Rincon, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194386482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT007331 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fox Rehabilitation Ga, Llc | 6800162298 | 114 |
| Optim Orthopedics Llc | 9931427002 | 98 |
| Optim Orthopedics Llc | 9931427002 | 98 |
| Provider Name | Optim Orthopedics Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780077982 PECOS PAC ID: 9931427002 Enrollment ID: O20150429001342 |
| Provider Name | Fox Rehabilitation Ga, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1023544624 PECOS PAC ID: 6800162298 Enrollment ID: O20171031001120 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Kathleen Miranda, 617 Towne Park Dr W Apt 527, Rincon, GA 31326-4117 Ph: () - | Michele Kathleen Miranda, 804 Towne Park Dr Ste 400, Rincon, GA 31326-5153 Ph: (912) 826-5450 |
Mrs. Melinda Kim Hawkins, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 366 Half Moon Rd, Rincon, GA 31326 Phone: 912-754-1291 | |
Kristen Moore, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5723 Ga-21, Rincon, Ga, 31326, Rincon, GA 31326 Phone: 912-667-6468 | |
Deborah Patalano, OTR/L, LMT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 Ridgewood Cir, Rincon, GA 31326 Phone: 912-826-6064 | |
Ava True, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5723 Ga Highway 21 S, Rincon, GA 31326 Phone: 912-667-6468 Fax: 912-324-4241 |