Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALFRED ALEXIS BALLEZA MIRANDA
ActiveALFRED ALEXIS BALLEZA MIRANDA is a Physical Therapy Assistant healthcare provider located in LITHONIA, Georgia. NPI 1285474759 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LITHONIA, GA
Registration Details
- NPI Number
- 1285474759
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2024 (2.221921105198 yrs)
- Last Updated
- Mar 20, 2025
- Licenses
-
012126 (CT)PT017569 (GA)
Practice Information
- Address
-
3007 PANOLA RD STE CLITHONIA, GA, 300382492Browse GA providers · Browse ZIP 30038
- Phone
- 7709871122
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in LITHONIA, GA
| Name | Credential | NPI |
|---|---|---|
| LEAANN LANGDON RUMLIN | PT | 1902843071 |
| LESLIE SHEMAIN NOVAK | MPT | 1841216199 |
| MRS. BILLIE RENEE GILL-CHESTNUT | RPT | 1942371406 |
| ADRIENNE T. BLACKSHER | PT | 1851539720 |
| KHADIJAH LATEEF MCGANN | PT | 1861794091 |
| LINDSAY BALLENGEE | PT | 1861742728 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.