Angelito Ancheta Mabini, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00010437 Issued in WA

Practice address

5322 Orchard St W
University Place, WA 98467-3633

Phone

(253) 476-3333

Fax

(253) 476-3334

NPI assigned

May 5, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angel Ancheta Mabini Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BDB Rehabilitation PCGroup PAC ID 7911393319, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• BDB Rehabilitation PC

  • Physical Therapist
  • Puyallup, WA
  • NPI 1760181879
  Medicare reassignment Care Compare group NPD
• Excel Performance Health and Wellness, LLC

  • Physical Therapist
  • Pacific, WA
  • NPI 1215775275
  Medicare reassignment NPD Authorized official
• King County Public Hospital District No 2

  • Neuromusculoskeletal Medicine & OMM Physician
  • Kirkland, WA
  • NPI 1801986070
  Medicare reassignment NPD
• Epic PT Health & Performance LLC

  • Physical Therapist
  • Tacoma, WA
  • NPI 1407282734
  Medicare reassignment
• BDB Rehabilitation PC

  • Physical Therapist
  • Marysville, WA
  • NPI 1467257949
  NPD
• King County Public Hospital District No. 2

  • Physical Therapist
  • Kirkland, WA
  • NPI 1356920946
  NPD

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1083880561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 ORCHARD ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984673633",
            "telephone_number": "253-988-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 ORCHARD ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984673633",
            "telephone_number": "253-476-3333",
            "fax_number": "253-476-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABINI",
        "first_name": "ANGELITO",
        "middle_name": "ANCHETA",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "MABINI",
            "middle_name": "ANCHETA",
            "credential": "MSPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Grace Lund
• Heidi Clare Lund, LMP
• Cara Ann Lundin, AGNP-C
• Glee Lyon, ARNP
• Renee C Lyon, ARNP
• Mallory Mackie, LICSW
• Ariel Macmillan
• Eileen E Magargee
• Magic Massage LLC
• Anna Malewicz, MSW

• Physical Therapist in University Place, WA
• Providers in University Place, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.