MIRANDA THILL – Physical Therapist, NPI 1093408023

MIRANDA THILL is a healthcare provider. based in Verona, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for MIRANDA THILL is 1093408023

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MIRANDA THILL
NPI
1093408023
Phone
(608) 848-6628
Address
416 E Verona Ave
Enumeration Date
26 May 2023
Last Update Date
26 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6088486628
Graduation Year
2023 (3 years ago)
PAC ID
4183082647
Group Practice PAC ID
4981931466
Professional Enrollment ID
I20230615002630
Address ID
WI535931227VE416XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

Provider Addresses for MIRANDA THILL

  • 416 E Verona Ave

    Verona, WI 535931227

    Phone: (608) 848-6628

    Type: Location

  • 1650 LYNDON FARM CT STE 300

    LOUISVILLE, KY 402235005

    Phone: (502) 573-3282

    Type: Mailing

  • 1215 SPRINGDALE ST

    MOUNT HOREB, WI 535722016

    Phone: (608) 437-0222

    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: 2023-06-15

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
I20230615002630IPhysical Therapist In Private PracticeWITBD

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 minutes930122$0
97530Therapy procedure using functional activities778116$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes653110$0
97140Therapy procedure using manual technique, each 15 minutes41199$0
97162Evaluation for physical therapy, typically 30 minutes3838$0
View full utilization report →

Insurance plans in this area (ZIP 53593)

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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: 4981931466View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeKY
-WI
Physical Therapist In Private PracticeWI
-WI
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeWI
-WI

Reviews

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Frequently asked questions

Can I cross-check MIRANDA THILL using NPI 1093408023?
NPI 1093408023 belongs to MIRANDA THILL; compare other details if you need extra assurance.
Is MIRANDA THILL shown as active in public data?
Registry records indicate MIRANDA THILL maintains an active NPI.
What area of care is associated with MIRANDA THILL?
MIRANDA THILL's record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MIRANDA THILL associated with Verona?
Public fields place MIRANDA THILL around Verona, Wisconsin. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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