Miranda Judge
NPI 1710633565ActiveIndividual· Physical Therapist· Apple Valley, CA
Physical Therapist with Southern California Permanente Medical Group and 1 other group, practicing in Apple Valley, California. Medicare paid $16,048 for services to 44 patients in 2024.
Overview
| NPI | 1710633565 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 1, 2022 |
| Last updated in NPPES | Dec 30, 2024 |
| Certified by provider | Mar 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 44 |
|---|---|
| Services billed | 710 across 12 procedure codes |
| Paid by Medicare | $16,048 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
- Udea Physical Therapy IncWestlake Village, CA · 3 clinicians
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All 38 physical therapists in Apple Valley · All physical therapists in California