Dariusz Adam Mrugala, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1079218 Issued in TX

Practice address

1133 NW Renfro St
Burleson, TX 76028-3333

Phone

(817) 201-1495

Fax

(817) 447-2238

NPI assigned

Jun 7, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Prorehab

  • Pediatric Physical Therapist
  • Burleson, TX
  • NPI 1225632821

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1212796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1386803930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 NW RENFRO ST",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283333",
            "telephone_number": "817-898-1631",
            "fax_number": "817-447-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 NW RENFRO ST",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283333",
            "telephone_number": "817-201-1495",
            "fax_number": "817-447-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRUGALA",
        "first_name": "DARIUSZ",
        "middle_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-07",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1079218",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1079218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Andrew Morse, M.D.
• Kevin Mosby
• Daniyah Moss
• Motion Marketing Solutions, Inc.
• Chelsea Victoria Pauline Mounce, RN
• Dorota Izabela Mrugala
• Elyse Mueller, LPC ASSOCIATE
• Muhammad Anis Memon M.D. P a
• Aline Muhawenimana
• Mukhtar Anees M.D. P.a.

• Pediatric Physical Therapist in Burleson, TX
• Providers in Burleson, TX by specialty
• Pediatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.