Jordan Miranda, DPT in South Boston, MA - Medicare Physical Therapist Provider

Jordan Miranda, DPT is a medicare enrolled "Physical Therapist" provider in South Boston, Massachusetts. Her current practice location is 509 E 7th St, South Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 306-8372.

Jordan Miranda is licensed to practice in Massachusetts (license number PTL28103) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871319616.

Contact Information

	Jordan Miranda, DPT
	509 E 7th St, South Boston, MA 02127-4150
	(617) 306-8372
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Miranda
Gender	Female
Speciality	Physical Therapist
Location	509 E 7th St, South Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871319616
Provider Enumeration Date: 11/26/2024
Last Update Date: 10/17/2025

Medicare PECOS Information:

PECOS PAC ID: 5799211470
Enrollment ID: I20241204002868

Medical Identifiers

Medical identifiers for Jordan Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871319616	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PTL28103 (Massachusetts)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jordan Miranda allows following entities to bill medicare on her behalf.

Provider Name	Bay State Physical Therapy Of Randolph Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164474334 PECOS PAC ID: 6305744251 Enrollment ID: O20191112001187

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Miranda is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jordan Miranda, DPT 509 E 7th St, South Boston, MA 02127-4150 Ph: (617) 306-8372	Jordan Miranda, DPT 509 E 7th St, South Boston, MA 02127-4150 Ph: (617) 306-8372

Reviews and Comments

Physical Therapist in South Boston, MA

Sarah Lewis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 386 W Broadway Fl 1, South Boston, MA 02127 Phone: 617-752-4672
Brendan Kirck, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Old Colony Ave, South Boston, MA 02127 Phone: 781-664-9388
Mrs. Lisa M Scialla, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 379 W Broadway, South Boston, MA 02127 Phone: 617-752-4138 Fax: 617-752-4127
Emily Zarrilli, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 897 E Broadway, South Boston, MA 02127 Phone: 860-803-2442
Mr. Timothy Campbell Kiley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 377 W Broadway, South Boston, MA 02127 Phone: 617-752-4672 Fax: 617-752-4643
Ryan Edmund Bogrette, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 379 W Broadway, South Boston, MA 02127 Phone: 617-968-3999 Fax: 617-752-4127
Jillian O'connell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 386 W Broadway Fl 1, South Boston, MA 02127 Phone: 617-752-4672

Jordan Miranda, DPT - Medicare Physical Therapist in South Boston, MA