Alfred Alexis Balleza Miranda
NPI 1285474759ActiveIndividual· Physical Therapist· Lithonia, GA
Physical Therapist with Independent Physical Therapy of Georgia, LLC and 2 other groups, practicing in Lithonia, Georgia. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1285474759 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 30, 2024 |
| Last updated in NPPES | Oct 1, 2026 |
| Certified by provider | Oct 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT017569 | GA |
| Physical Therapist | 225100000X | — | — |
| Physical Therapist | 225100000X | 012126 | 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
- Independent Physical Therapy of Georgia, LLCMonroe, GA · 531 clinicians
- Benchmark Physical Therapy, IncJonesboro, GA · 68 clinicians
- McM Rehabilitation LLCDawsonville, GA · 55 clinicians
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All 29 physical therapists in Lithonia · All physical therapists in Georgia