Emmanuel S Pagkanlungan, PT, DPT, FDNS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23202 Issued in MA

Practice address

900 W Western Ave
Muskegon, MI 49441-1617

Phone

(616) 847-1280

Fax

(616) 847-1290

NPI assigned

Sep 7, 2017

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoreline Sport and Spine PLLCGroup PAC ID 4284673575, 44 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.

• Shoreline Sport & Spine PLLC

  • Physical Therapist
  • Spring Lake, MI
  • NPI 1225040694
  Medicare reassignment Care Compare group NPD
• Ivyrehab Michigan, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fenton, MI
  • NPI 1104337120

  Physical Therapist

  Medicare reassignment NPD
• Muskegon Movement Physical Therapy PLLC

  • Physical Therapist
  • Muskegon, MI
  • NPI 1578493862
  NPD Authorized official
• Shoreline Sport & Spine PLLC

  • Physical Therapist
  • Muskegon, MI
  • NPI 1619787959
  NPD
• Marathon Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Newton, MA
  • NPI 1346373115
  NPD (past)

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1477071777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 COVE ST STE 202",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494561383",
            "telephone_number": "616-847-1280",
            "fax_number": "616-847-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W WESTERN AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494411617",
            "telephone_number": "616-847-1280",
            "fax_number": "616-847-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGKANLUNGAN",
        "first_name": "EMMANUEL",
        "middle_name": "S",
        "credential": "PT, DPT, FDNS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5501019627",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Oudsema, PHARMD
• Rachael Overkamp, BSW
• Gary L Oxendale, LMSW
• Robert Charles Packer, MD
• Miss-Shavon Elaine Paggett
• Heather Pajonk
• Elizabeth Fisher Pallante, M.D.
• Martin M Pallante, MD
• Thomas Peter Pallas, PT, DPT
• Palmer Chiropractic Clinic

• Physical Therapist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.