GLENN MIRACLE P.T.
NPI 1831430016
Physical Therapist - Orthopedic in Fresno, CA

Active since March 12, 2013
1903 E FIR AVE, STE. 102, FRESNO, CA 93720(559) 322-1703(559) 322-1793 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glenn Miracle P.t. NPPES

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

GLENN MIRACLE P.T. (NPI 1831430016) is an individual orthopedic provider in Fresno, California, licensed in California (39881) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1831430016
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameGLENN MIRACLECredential: P.T.
Location Address1903 E FIR AVE, STE. 102Fresno, CA 93720-3862
Mailing Address1903 E Fir Ave, Ste. 102Fresno, CA 93720-3862 · (559) 322-1703 · Fax (559) 322-1793
Fax(559) 322-1793
Sole ProprietorNo
Enumeration DateMarch 12, 2013
NPI 1831430016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in CA · 39881
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
1903 E FIR AVE, Fresno, CA 93720

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
1903 E FIR AVE, SUITE 102
FRESNO, CA 93720
Physical Therapist
1903 E FIR AVE
FRESNO, CA 93720
Physical Therapist
1903 E FIR AVE
FRESNO, CA 93720
Physical Therapist
1903 E FIR AVE, SUITE 102
FRESNO, CA 93720
Clinic/Center (Physical Therapy)
1903 E FIR AVE, SUITE 102
FRESNO, CA 93720
Physical Therapist
1903 E FIR AVE, #102
FRESNO, CA 93720

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 Glenn Miracle's NPI number?

The NPI number for Glenn Miracle is 1831430016. It was assigned to this individual provider in the NPPES registry on March 12, 2013.

Where is Glenn Miracle located?

Glenn Miracle practices at 1903 E Fir Ave Ste. 102, Fresno, CA 93720. The listed phone number is (559) 322-1703.

What is Glenn Miracle's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Glenn Miracle was last updated on March 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.