Active NPI
Walter Raphael Pangalangan, PT
- Orthopedic Physical Therapist
- Walterboro, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- SC4348
- Practice address
- 205 Meadow Street
Walterboro, SC 29488 - Phone
- (843) 549-6487
- Fax
- (843) 542-9727
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | SC4348 | SC | Primary |
Addresses
Primary practice location
205 Meadow Street
Walterboro, SC 29488
Mailing address
PO Box 976
Walterboro, SC 29488
Phone (843) 549-6487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10124 Queens Blvd
Suite a
Forest Hills, NY 11375-2703
Phone (718) 261-8881
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 97.36
- Improvement activities
- 40
- Cost
- 80.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049585 | NY | MD | Dentist |
| SC4348 | SC | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Medical Care | Current | Accepting new patients | |
| Advanced Medical Care PLLC | Current | Accepting new patients | |
| Walterboro Physical Therapy Works LLC | Orthopedic | Past | Accepting new patients |
| Atlantic Respiratory Services | Past | Accepting new patients |
Locations
1117 Brighton Beach Ave
Fl 2
Brooklyn, NY 11235
Phone (718) 998-9900
1117 Brighton Beach Ave
Brooklyn, NY 11235
Phone (718) 998-9900
10124 Queens Blvd
Ste A
Forest Hills, NY 11375
Phone (718) 261-8881
Organizations & group practices 4
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.
-
- Nuclear Cardiology Physician
- Forest Hills, NY
- NPI 1689745424
-
- Orthopedic Physical Therapist
- Walterboro, SC
- NPI 1184828980
-
- Nuclear Cardiology Physician
- Brooklyn, NY
- NPI 1912078742
-
- Oxygen Equipment & Supplies (DME)
- Walterboro, SC
- NPI 1679623169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1720020183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 976",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "29488",
"telephone_number": "843-549-6487",
"fax_number": "843-542-9727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 MEADOW STREET",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "29488",
"telephone_number": "843-549-6487",
"fax_number": "843-542-9727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANGALANGAN",
"first_name": "WALTER",
"middle_name": "RAPHAEL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "SC",
"license": "SC4348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walterboro, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.