Active NPIIndividual provider

Jordan Miranda, DPT

Physical Therapist in South Boston, Massachusetts

NPI Number1871319616
Practice location
509 E 7TH St, South Boston, MA 02127-4150
Fax
—
Last updated
October 17, 2025

Jordan Miranda is a Physical Therapist based in South Boston, MA. Jordan Miranda practices in South Boston, MA and has the professional credentials of DPT. The NPI Number for Jordan Miranda is 1871319616 and holds a License No. PTL28103 (MA). The current practice location address for Jordan Miranda is 509 E 7TH St, South Boston, MA 02127-4150 and can be reached out via phone at 617-306-8372.

Provider Profile Details

NPI Number
1871319616
Provider Name
Jordan Miranda
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
509 E 7TH St, South Boston, MA 02127-4150
Phone Number
617-306-8372
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
November 26, 2024
Last Update Date
October 17, 2025
Certification Date
October 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
509 E 7TH St
South Boston, MA 02127-4150
Zip
02127-4150
Phone Number
617-306-8372
South Boston, MA 02127Get directions →

Provider Business Mailing Address Details

Address
509 E 7TH St
South Boston, MA 02127-4150
City
South Boston
State
MA
Zip
02127-4150
Phone Number
617-306-8372

License Information

License Number
PTL28103
License State
MA
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jordan Miranda, DPT?

The NPI number of Jordan Miranda, DPT is 1871319616. It was assigned on November 26, 2024 and is currently active in the NPPES registry.

What is the specialty of Jordan Miranda, DPT?

Jordan Miranda, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number PTL28103.

Where does Jordan Miranda, DPT practice?

The practice location is 509 E 7TH St, South Boston, MA 02127-4150. The office can be reached at 617-306-8372 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871319616 directly on the NPPES registry website.

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