Romker Mamaril Mangulabnan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.025618 Issued in IL

Practice address

415 W Golf Rd Ste 52
Arlington Heights, IL 60005-3923

Phone

(432) 207-2160

NPI assigned

Oct 13, 2020

Sex

Male

Sole proprietor

Yes

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 TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Home Therapy Providers of Texas

  • Occupational Therapist
  • Liberty Hill, TX
  • NPI 1578352456
  Medicare reassignment

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1851999643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9018 ABBEY LN APT 2168",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165063",
            "telephone_number": "432-207-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD STE 52",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053923",
            "telephone_number": "432-207-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGULABNAN",
        "first_name": "ROMKER",
        "middle_name": "MAMARIL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.025618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hazel Thea B Manalo, PT
• Lizbeth Mancilla
• Dakota Mandel, RBT
• Ruth Mandel
• Kishen S. Manglani, M.D.
• Michael Mangurten, M.D.
• Manhae
• Jonathan Manix, OTD, OTR/L
• Dalia S Manjarres Cohen, PSYD
• Liseth Manjarrez, M.D.

• Physical Therapist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.