Ma Corazon Panganiban, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5005 Issued in TN

Practice address

188 Prosser Rd
Lawrenceburg, TN 38464-4233

Phone

(931) 766-3279

NPI assigned

May 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

• Miss Cora Panganiban Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crockett Hospital, LLC

  dba Southern Tennessee Regional Health System Lawrenceburg

  • Medicare Defined Swing Bed Hospital Unit
  • Lawrenceburg, TN
  • NPI 1720212038
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427279041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384640194",
            "telephone_number": "901-476-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 PROSSER RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644233",
            "telephone_number": "931-766-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGANIBAN",
        "first_name": "MA CORAZON",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "5005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORA",
            "last_name": "PANGANIBAN",
            "prefix": "MISS",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adrian Elizabeth Osborn
• Andrea Shannon Owens, APRN-BC
• Gianna Laura Owens, ANP
• Schaunelle D Pagan, LPC-MHSP
• Pain MD LLC
• Yolande P Parson, LMSW
• Patsy J Burks (North Terrace Medical Clinic)
• Karen J Perry, N.P.
• Charlotte Rose Phelps, SOCIAL WORKER
• Haley Beecham Phillips, FNP-C

• Physical Therapist in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.