SVETLANA MIRVODA (RPT) – Physical Therapist, NPI 1720102452

SVETLANA MIRVODA (RPT) is a healthcare provider. based in Natick, Massachusetts. specializing in Physical Therapist. They hold the professional credentials RPT. They hold a License No. 10206 (MA). The NPI Number for SVETLANA MIRVODA (RPT) is 1720102452

Main info

Female
Name
SVETLANA MIRVODA (RPT)
NPI
1720102452
Phone
(508) 545-2305
Address
3 TERRANE AVE
Enumeration Date
19 March 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for SVETLANA MIRVODA (RPT)

  • 3 TERRANE AVE

    NATICK, MA 017601706

    Phone: (508) 545-2305

    Fax: (508) 545-2305

    Type: Mailing

  • 20 LINDEN ST STE 1

    ALLSTON, MA 021341776

    Phone: (617) 787-0030

    Fax: (617) 787-0010

    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: 2005-09-21

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
I20050921000292IPhysical Therapist In Private PracticeMATBD

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 01760)

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Reviews

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Frequently asked questions

What federal number belongs to SVETLANA MIRVODA (RPT)?
The federal identifier for SVETLANA MIRVODA (RPT) is NPI 1720102452.
Is SVETLANA MIRVODA (RPT)'s NPI currently valid?
The extract we use shows SVETLANA MIRVODA (RPT) as active.
What kind of provider is SVETLANA MIRVODA (RPT)?
The page reflects Physical Therapist for SVETLANA MIRVODA (RPT). Clinical services aligned with this taxonomy classification.
What location metadata exists for SVETLANA MIRVODA (RPT)?
The page summarizes Natick, Massachusetts for SVETLANA MIRVODA (RPT); expand the address list for detail.
Is SVETLANA MIRVODA (RPT) a real provider?
This page reflects official NPPES data for NPI 1720102452. Always confirm identity and privileges with the practice and licensing boards.

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