MRS. MIRANDA KATHLEEN AUSTIN (NPI# 1841289816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841289816 |
| Entity Type | Individual |
| Full Name | MRS. MIRANDA KATHLEEN AUSTIN |
| Credential | MPT |
| Practice Address |
775 Pole Line Rd W Ste 202 Twin Falls ID 83301-5820 |
| Practice Telephone | 2088142570 |
| Mailing Telephone | 2088142570 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2018-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 29616 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
PT-2458 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
775 POLE LINE RD W STE 202 |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194171207 | Brodie Miller | Physical Therapist | 775 Pole Line Rd W Ste 202, Twin Falls, ID 83301-5820 | 2016-05-06 |
| 1659775690 | Vanessa Harris | Physical Therapist | 775 Pole Line Rd W Ste 202, Twin Falls, ID 83301-5820 | 2014-10-20 |
| 1982033452 | Andrew Graham | Physical Therapist | 775 Pole Line Rd W Ste 202, Twin Falls, ID 83301-5820 | 2013-11-05 |
| 1447683214 | Megan Ann Gullickson | Physical Therapist | 775 Pole Line Rd W Ste 202, Twin Falls, ID 83301-5820 | 2013-08-15 |
| 1801041975 | Leslie G Silvester | Speech-Language Pathologist | 775 Pole Line Rd W Ste 202, Twin Falls, ID 83301-5820 | 2008-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356491187 | Idaho State University | Physical Therapist | 1400 E. Terry, Garrison Bldg. 63 #202, Pocatello, ID 83209-8045 | 2007-01-12 |
| 1184142333 | Christine Louise Olen | Physical Therapist | 717 N Liberty St, Boise, ID 83704-9342 | 2017-09-07 |
| 1154716322 | Casey Strunk | Physical Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2015-04-03 |
| 1003248923 | Kyle Aaron Holbrook | Physical Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2013-08-01 |
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on MRS. MIRANDA KATHLEEN AUSTIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.