NPIMap

Individual provider Active NPI

Barbra Joanne Flores Mangibin, PT, DPT

  • Physical Therapist
  • Long Island City, NY
National Provider Identifier
1508168907
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030740 Issued in NY
Practice address
1142 44TH Dr
5
Long Island City, NY 11101-5157
Phone
(347) 579-6517
NPI assigned
Nov 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 030740 NY Primary

Addresses

Primary practice location

1142 44TH Dr
5
Long Island City, NY 11101-5157

Mailing address

1142 44TH Dr
5
Long Island City, NY 11101-5157
Phone (347) 579-6517

Other names 1

  • Barbra Mangibin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030740NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Rehab and Physical Therapy PC Physical Therapist Past Accepting new patients
MCM Medical Care PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1508168907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 44TH DR",
            "address_2": "5",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015157",
            "telephone_number": "347-579-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 44TH DR",
            "address_2": "5",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015157",
            "telephone_number": "347-579-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIBIN",
        "first_name": "BARBRA JOANNE",
        "middle_name": "FLORES",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBRA",
            "last_name": "MANGIBIN",
            "credential": "PT, DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.