MIRANDA NICOLE PSAILA – Physical Therapist, NPI 1699451484

MIRANDA NICOLE PSAILA is a healthcare provider. based in Vacaville, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 304135 (CA). The NPI Number for MIRANDA NICOLE PSAILA is 1699451484

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MIRANDA NICOLE PSAILA
NPI
1699451484
Phone
Not provided
Address
2090 NEWCASTLE DR
Enumeration Date
26 June 2023
Last Update Date
15 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
7073650367
Graduation Year
2023 (3 years ago)
PAC ID
2163877259
Group Practice PAC ID
6608857909
Professional Enrollment ID
I20231010001100
Address ID
CA956875603VA1009XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for MIRANDA NICOLE PSAILA

  • 2090 NEWCASTLE DR

    VACAVILLE, CA 956878229

    Phone:

    Type: Mailing

  • 1 QUALITY DR

    VACAVILLE, CA 95688

    Phone: (707) 624-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231010001100IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95687)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608857909View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
-WA
-WA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What identifier follows MIRANDA NICOLE PSAILA across health systems?
The NPI 1699451484 uniquely identifies MIRANDA NICOLE PSAILA in U.S. healthcare data.
Should I treat MIRANDA NICOLE PSAILA as an active provider?
Patients and plans typically see MIRANDA NICOLE PSAILA as active in the national extract.
How should patients interpret MIRANDA NICOLE PSAILA's specialty?
The extract shows Physical Therapist for MIRANDA NICOLE PSAILA. Clinical services aligned with this taxonomy classification.
Can patients visit MIRANDA NICOLE PSAILA in Vacaville, California?
For routing, start with Vacaville, California for MIRANDA NICOLE PSAILA, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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