Active NPI
Mangoos Physical Therapy P.C
- Specialist
- Bronx, NY
National Provider Identifier
1174916670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 029005
- Legal business name
- MANGOOS PHYSICAL THERAPY P.C
- Practice address
- 903 Sheridan Ave
Suite E
Bronx, NY 10451-3304 - Phone
- (718) 450-3242
- Fax
- (718) 450-3217
- NPI assigned
- Mar 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Kristian Trangia Mangubat, M.D
- Title
- Physical Therapist / Ceo
- Phone
- (718) 450-3242
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 029005 | NY | Primary |
Addresses
Primary practice location
903 Sheridan Ave
Suite E
Bronx, NY 10451-3304
Mailing address
903 Sheridan Ave
Suite E
Bronx, NY 10451-3304
Phone (718) 450-3242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
903 Sheridan Ave
Ste E
Bronx, NY 10451
Phone (718) 450-3242
1314 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 377-5300
10603 Corona Ave
Flushing, NY 11368
Phone (917) 745-0091
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Elmhurst, NY
- NPI 1336456177
-
- Physical Therapist
- Bronx, NY
- NPI 1861705683
-
- Specialist
- Bronx, NY
- NPI 1447449004
-
- Physical Therapist
- Briarwood, NY
- NPI 1255632980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425859200000",
"number": "1174916670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 SHERIDAN AVE",
"address_2": "SUITE E",
"city": "BRONX",
"state": "NY",
"postal_code": "104513304",
"telephone_number": "718-450-3242",
"fax_number": "718-450-3217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 SHERIDAN AVE",
"address_2": "SUITE E",
"city": "BRONX",
"state": "NY",
"postal_code": "104513304",
"telephone_number": "718-450-3242",
"fax_number": "718-450-3217"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANGOOS PHYSICAL THERAPY P.C",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-09",
"last_updated": "2015-03-09",
"status": "A",
"authorized_official_last_name": "MANGUBAT",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "KRISTIAN TRANGIA",
"authorized_official_title_or_position": "PHYSICAL THERAPIST / CEO",
"authorized_official_telephone_number": "718-450-3242",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "029005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.