Ingemar Manarin Mapanao, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

053031 Issued in NY

Practice address

118 Carleton Ave Apt 7a
Islip Terrace, NY 11752-2638

Phone

(631) 877-9117

Fax

(631) 877-9117

NPI assigned

Apr 29, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ingemar Manarin Mapanao Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1154119089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CARLETON AVE APT 7A",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117522638",
            "telephone_number": "631-877-9117",
            "fax_number": "631-877-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CARLETON AVE APT 7A",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117522638",
            "telephone_number": "631-877-9117",
            "fax_number": "631-877-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPANAO",
        "first_name": "INGEMAR",
        "middle_name": "MANARIN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INGEMAR",
            "last_name": "MAPANAO",
            "middle_name": "MANARIN",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Samantha Luongo, MS
• Corinne Lorraine Lydon, RN
• M.M.J.J. Inc.
• Vikki Lynne Macintosh, LPN
• Maeve Catherine Mackenna, M.S., CCC-SLP, TSSLD
• Julee Ann Marazzito
• Margaret M. Magee, R.N., L.M.T., PLLC
• Mary McGrory
• Caroline Louise McNeill
• Mercy Haven Inc

• Physical Therapist in Islip Terrace, NY
• Providers in Islip Terrace, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.