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

Theoderick Mitra, PT

Individual provider Physical Therapist · NPI 1306982053

Theoderick Mitra, PT is a Physical Therapist in New Hyde Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

111 S 8th St
New Hyde Park, NY 11040-4852
Phone: (516) 233-1846
Fax: (516) 233-1846
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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 018279 (NY)

Record details

NPI number1306982053
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJanuary 29, 2007
Last updated in NPPESJuly 8, 2007

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