Mirmon Troi Virgino De Vera, PT
NPI 1073353546ActiveIndividual· Physical Therapist· Norcross, GA
Physical Therapist (PT) with Agilitas USA, Inc and 2 other groups, practicing in Norcross, Georgia. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1073353546 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | May 30, 2024 |
| Last updated in NPPES | Jan 28, 2025 |
| Certified by provider | Jan 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT017580 | GA |
| Physical Therapist | 225100000X | 12068 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (GA) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Agilitas USA, IncMobile, AL · 831 clinicians
- Independent Physical Therapy of Georgia, LLCMonroe, GA · 531 clinicians
- Emory Physical Therapy, LLCAtlanta, GA · 97 clinicians
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All 52 physical therapists in Norcross · All physical therapists in Georgia