Miranda Kelinske, PT
NPI 1356643803ActiveIndividual· Physical Therapist· Larkspur, CA
Physical Therapist (PT) with Active Therapy Group LLC, practicing in Larkspur, California. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1356643803 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Dec 3, 2010 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 293158 | CA |
| Specialist | 174400000X | 1178189 | TX |
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 (TX) |
|---|
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Active Therapy Group LLCWaco, TX · 8 clinicians
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All 32 physical therapists in Larkspur · All physical therapists in California