KIERSTIN MIREKU – Physical Therapist, NPI 1720706583

KIERSTIN MIREKU is a healthcare provider. based in Herndon, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 2305215313 (VA). The NPI Number for KIERSTIN MIREKU is 1720706583

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KIERSTIN MIREKU
NPI
1720706583
Phone
(703) 689-3737
Address
150 Elden St Ste 240
Enumeration Date
18 August 2022
Last Update Date
18 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7037235225
Graduation Year
2022 (4 years ago)
PAC ID
8022480011
Group Practice PAC ID
9931271848
Professional Enrollment ID
I20230503001848
Address ID
VA201473394AS20098PLXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,079 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for KIERSTIN MIREKU

  • 150 Elden St Ste 240

    Herndon, VA 201704845

    Phone: (703) 689-3737

    Fax: (703) 689-3889

    Type: Location

  • 8100 BOONE BLVD STE 140

    VIENNA, VA 221822689

    Phone:

    Type: Mailing

  • 10521 ROSEHAVEN ST

    # 150 LL

    FAIRFAX, VA 220302889

    Phone: (703) 383-1616

    Fax: (703) 383-1166

    Type: Mailing

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: 2023-05-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230221002959IPhysical Therapist In Private PracticeDCTBD
I20230503001848IPhysical Therapist In Private PracticeVATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes55757$0
97140Therapy procedure using manual technique, each 15 minutes51758$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes35547$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care20826$0
97530Therapy procedure using functional activities13825$0
View full utilization report →

Insurance plans in this area (ZIP 20170)

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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: 9931271848View full group profile
NameSpecialtyState
-VA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeMD

Reviews

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Frequently asked questions

Can I use this page to confirm KIERSTIN MIREKU's NPI?
Yes. KIERSTIN MIREKU is listed with NPI 1720706583 in the public NPI dataset.
Is KIERSTIN MIREKU listed as active for patients and plans?
The listing shows KIERSTIN MIREKU as active in the NPI system.
What healthcare role does KIERSTIN MIREKU hold?
Scheduling teams often label KIERSTIN MIREKU under Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect KIERSTIN MIREKU on a map?
Expect Herndon, Virginia as a primary anchor for KIERSTIN MIREKU unless the record lists multiple sites.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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