Michael Mirabueno, PT,DPT
NPI 1962648170ActiveIndividual· Specialist· Carteret, NJ
Specialist (PT,DPT) with Dynamic Peak Physical Therapy PT Pta, practicing in Carteret, New Jersey. Medicare paid $150,579 for services to 60 patients in 2024.
Overview
| NPI | 1962648170 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT,DPT |
| Sole proprietor | Yes |
| NPI issued | Dec 18, 2008 |
| Last updated in NPPES | Mar 15, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 40QA01300700 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 60 |
|---|---|
| Services billed | 8,619 across 5 procedure codes |
| Paid by Medicare | $150,579 |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Dynamic Peak Physical Therapy PT PtaRutherford, NJ · 2 clinicians
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