Individual provider Active NPI

Darla Louise Dorado Mitu

  • Physical Therapist
  • Frisco, TX
National Provider Identifier
1336756774
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046050 Issued in NY
Practice address
11700 Lebanon Rd Apt 725
Frisco, TX 75035-8275
Phone
(718) 415-6665
NPI assigned
Sep 29, 2020
Last updated
Sep 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 046050 NY Primary

Addresses

Primary practice location

11700 Lebanon Rd Apt 725
Frisco, TX 75035-8275

Mailing address

11700 Lebanon Rd Apt 725
Frisco, TX 75035-8275
Phone (718) 415-6665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250307000145 NJ Practitioner - Physical Therapist in Private Practice 0446641435 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prestige Rehab LLCGroup PAC ID 3375936495, 59 clinicians
East Coast Spine Joint and Sports MedicineGroup PAC ID 2365530938, 14 clinicians

Practice addresses (Care Compare)

20 Country Club LN
Colts Neck, NJ 07722-2222
Phone (855) 678-8887

720 Monroe St
Suite C208
Hoboken, NJ 07030-6350
Phone (201) 533-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046050NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Spinecare & Rehabilitation Medicine PC CurrentSince Dec 23, 2024 Accepting new patients
Westfield Physical Therapy LLC Physical Therapist CurrentSince Feb 24, 2025 Accepting new patients
Anchor Health Homecare Services Inc Physical Therapist CurrentSince Jan 16, 2024 Accepting new patients
Prestige Rehab LLC Physical Therapist CurrentSince Jan 30, 2026 Accepting new patients

Locations

3107 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 866-2800

1271 Westfield Ave
Rear
Rahway, NJ 07065
Phone (908) 301-6134

381 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 530-1300

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1336756774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 LEBANON RD APT 725",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750358275",
            "telephone_number": "718-415-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 LEBANON RD APT 725",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750358275",
            "telephone_number": "718-415-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITU",
        "first_name": "DARLA LOUISE",
        "middle_name": "DORADO",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.