Ryan Mangubat, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01113600 Issued in NJ

Practice address

1117 Main Ave
Suite 101
Clifton, NJ 07011-2379

Phone

(973) 405-6090

Fax

(973) 406-6088

NPI assigned

Feb 21, 2007

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Pain and Spine Institute LLCGroup PAC ID 1254612591, 6 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.

• Precision Pain & Spine Institute LLC

  • Interventional Pain Medicine Physician
  • Hamilton, NJ
  • NPI 1952856569
  Medicare reassignment Care Compare group NPD
• Mahwah Health Services, LLC

  • Physical Therapist
  • Mahwah, NJ
  • NPI 1851445068
  Medicare reassignment NPD
• Sun Up Chiropractic and Physical Therapy LLC

  • Chiropractor
  • Jersey City, NJ
  • NPI 1063682474
  NPD
• Mahwah Health Services

  • Physical Therapist
  • Mahwah, NJ
  • NPI 1629488127
  NPD (past)
• North Jersey Orthopaedic Specialists P.a.

  • Orthopaedic Surgery Physician
  • Teaneck, NJ
  • NPI 1396787990
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609911809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 MAIN AVE",
            "address_2": "SUITE 101",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112379",
            "telephone_number": "973-405-6090",
            "fax_number": "973-406-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 MAIN AVE",
            "address_2": "SUITE 101",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112379",
            "telephone_number": "973-405-6090",
            "fax_number": "973-406-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUBAT",
        "first_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01113600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beau Malimas
• Myleen Mamaril
• Andrew Manansala
• Maneyapanda LLC
• Jesse Mangone
• Jennifer L Manipon, D.P.T.
• Robert Manley, MPT
• Benjamin Mann
• Kristy Manookian, RN
• Sarah Mansfield

• Physical Therapist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Physical Therapist in New Jersey

• 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.
• 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.