Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mandy Darafeev

Individual provider Physical Therapist · NPI 1922707108

Mandy Darafeev is a Physical Therapist in Private Practice in Pasadena, California. Qualified in 2022, 4 years ago. Practices with Evergreen Physical Therapy Specialists Inc, a 14-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

111 S Hudson Ave
Pasadena, CA 91101-2606
Phone: (626) 683-8536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 303745 (CA)

Record details

NPI number1922707108
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2023
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023
Mailing address350 E Del Mar Blvd Apt 223, Pasadena, CA 91101-2754

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Evergreen Physical Therapy Specialists Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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