MARK ANTHONY PATATAG MIRANDA JR.
NPI 1720846959
Specialist/Technologist - Athletic Trainer in Bridgeport, CT

Active since March 12, 2024
65 WEDGEWOOD PL, BRIDGEPORT, CT 06606(323) 365-4549 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mark Anthony Patatag Miranda Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK ANTHONY PATATAG MIRANDA JR. (NPI 1720846959) is an individual athletic trainer provider in Bridgeport, Connecticut and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1720846959
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMARK ANTHONY PATATAG MIRANDA JR.
Location Address65 WEDGEWOOD PLBridgeport, CT 06606-1927
Mailing Address65 Wedgewood PlBridgeport, CT 06606-1927
Sole ProprietorNo
Enumeration DateMarch 12, 2024
NPPES CertifiedMarch 12, 2024
NPI 1720846959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
65 WEDGEWOOD PL, Bridgeport, CT 06606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Anthony Miranda's NPI number?

The NPI number for Mark Anthony Miranda is 1720846959. It was assigned to this individual provider in the NPPES registry on March 12, 2024.

Where is Mark Anthony Miranda located?

Mark Anthony Miranda practices at 65 Wedgewood Pl, Bridgeport, CT 06606. The listed phone number is (323) 365-4549.

What is Mark Anthony Miranda's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Mark Anthony Miranda was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.