Christopher Stephen Gangan Ibarola

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0065 Issued in MP

Practice address

PO Box 504816
Saipan, MP 96950-4309

Phone

(670) 323-6780

NPI assigned

Apr 30, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MP

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• MVN Inc

  • Physical Therapy Clinic/Center
  • Saipan, MP
  • NPI 1063690451
  Medicare reassignment NPD

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1689463317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504816",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969504309",
            "telephone_number": "670-323-6780",
            "fax_number": "670-323-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 504816",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969504309",
            "telephone_number": "670-323-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBAROLA",
        "first_name": "CHRISTOPHER STEPHEN",
        "middle_name": "GANGAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040180",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MP",
            "license": "0065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anneka Maria Hofschneider, PHD
• Amanda Rae Holloway, M.D.
• Honolulu Vamc
• Lorie Hutchison, PA-C
• Sheila Mary Yamat Huynh
• Rose Patria Indalecio, RN
• Isla Permanente, LLC
• Hani Amin Ismail, M.D.
• Elizabeth Emma Itibus
• Bodch Trinidad Camacho Ito, RN

• Physical Therapist in Saipan, MP
• Providers in Saipan, MP by specialty
• Physical Therapist in Northern Mariana Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.