NPIMap

Organization Active NPI

Dana Krank & Angelito Mabini Co

Doing business as Big Sky Physical Therapy Health & Performance

  • Physical Therapist
  • University Place, WA
National Provider Identifier
1740551860
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DANA KRANK & ANGELITO MABINI CO
Doing business as
Big Sky Physical Therapy Health & Performance
Practice address
5322 Orchard St. W
University Place, WA 98467-3633
Phone
(208) 209-6170
NPI assigned
Jan 20, 2012
Last updated
Jun 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Angleio Mabini, P.T.
Title
Owner
Phone
(208) 209-6170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5322 Orchard St. W
University Place, WA 98467-3633

Mailing address

5322 Orchard St. W
University Place, WA 98467-3633

Other names 1

  • Big Sky Physical Therapy Health & Performance Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1740551860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 ORCHARD ST. W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984673633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 ORCHARD ST. W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984673633",
            "telephone_number": "208-209-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA KRANK & ANGELITO MABINI CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "MABINI",
        "authorized_official_first_name": "ANGLEIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-209-6170",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Sky Physical Therapy Health & Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.