Alicia M Miranda, LMT, COTA (RET) is a
Occupational Therapy Assistant based in West Linn, Oregon. Alicia M Miranda is licensed to practice in Florida (license number OTA 14848) and her current practice location is
22000 Willamette Dr Ste 107, West Linn, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 476-1217.
NPI number for Alicia M Miranda is 1780901959 and her current mailing address is 20070 Larkspur Ln Apt 66, West Linn, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780901959.
Healthcare Provider's Profile
Full Name | Alicia M Miranda |
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Gender | Female |
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Speciality | Occupational Therapy Assistant |
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Location | 22000 Willamette Dr Ste 107, West Linn, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780901959
- Provider Enumeration Date: 04/28/2010
- Last Update Date: 10/13/2024
Medical Identifiers
Medical identifiers for Alicia M Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780901959 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MA41682 (Florida) | Secondary |
225700000X | Massage Therapist | 24185 (Oregon) | Secondary |
224Z00000X | Occupational Therapy Assistant | OTA 14848 (Florida) | Primary |
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. Alicia M Miranda is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alicia M Miranda, LMT, COTA (RET) 20070 Larkspur Ln Apt 66, West Linn, OR 97068-2381 Ph: (727) 686-6848 | Alicia M Miranda, LMT, COTA (RET) 22000 Willamette Dr Ste 107, West Linn, OR 97068-3210 Ph: (503) 476-1217 |
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