Corazon Manglanlan Obillo, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6112 Issued in OR

Practice address

1609 SE 92ND Court
Vancouver, WA 98664

Phone

(360) 737-7527

Fax

(360) 694-8613

NPI assigned

Jan 22, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Corazon Obillo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1689905176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 SE 92ND COURT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98664",
            "telephone_number": "360-917-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 SE 92ND COURT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98664",
            "telephone_number": "360-737-7527",
            "fax_number": "360-694-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBILLO",
        "first_name": "CORAZON",
        "middle_name": "MANGLANLAN",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6112",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60113682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORAZON",
            "last_name": "OBILLO",
            "credential": "P.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Oasis Senior Care Home
• Tannis Rose Oatts
• Jessica Obbink
• Cindy Annette Ober
• James Alan Obester Jr., M.D.
• Timothy M Obrien, LMHC
• Anna Ocampo-Valdez
• Michelle Marie Ochaeta, AAC
• Chelsea Ochoa, PHARMD
• David Dominic Ochoa, M.A.

• Physical Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.