OrganizationActive
Mitra Physical Therapy
NPI 1154678258 · Early Intervention Provider Agency · Douglaston, NY
Mitra Physical Therapy is a Early Intervention Provider Agency organization in Douglaston, NY (NPI 1154678258).
Provider details
- NPI number
- 1154678258
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Theoderick Mitra, President(516) 451-3427
- License
- 018279 (NY)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24312 73rd Ave Fl 2
Douglaston, NY 11362-2320
Phone: (516) 451-3427
Fax: (347) 235-0932
Approximate (ZIP-level) locationGet directions
Mailing address
24312 73rd Ave Fl 2
Douglaston, NY 11362-2320
Registry dates
- Enumerated
- 2012-08-07
- Last updated
- 2012-08-07
Frequently asked questions
- What is Mitra Physical Therapy's NPI number?
- Mitra Physical Therapy's National Provider Identifier (NPI) is 1154678258, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mitra Physical Therapy?
- Mitra Physical Therapy is classified in the NPPES registry as Early Intervention Provider Agency (Agencies).
- Where is Mitra Physical Therapy located?
- Mitra Physical Therapy's practice location on file with NPPES is 24312 73rd Ave Fl 2, Douglaston, NY 11362-2320.
- What is Mitra Physical Therapy's phone number?
- The practice phone number listed in the NPPES registry for Mitra Physical Therapy is (516) 451-3427.
- Who is the authorized official for Mitra Physical Therapy?
- The authorized official listed on Mitra Physical Therapy's NPPES record is Theoderick Mitra, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mitra Physical Therapy's NPI active?
- Yes — Mitra Physical Therapy's NPI (1154678258) is active in the NPPES registry as of the last update on 2012-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.