Michael Kristian Mangubat, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029005 Issued in NY

Practice address

825 Walton Avenue
Bronx, NY 10451-2306

Phone

(718) 585-0888

Fax

(718) 585-0880

NPI assigned

Jul 21, 2010

Sex

Male

Sole proprietor

Yes

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mangoos Physical Therapy PCGroup PAC ID 0749593788, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

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.

• Mangoos Physical Therapy P.C

  • Specialist
  • Bronx, NY
  • NPI 1174916670
  Medicare reassignment Care Compare group NPD
• Body

  • Orthopedic Physical Therapist
  • Brooklyn, NY
  • NPI 1902761323
  NPD

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1861705683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LITCHULT CT",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109017511",
            "telephone_number": "347-605-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WALTON AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104512306",
            "telephone_number": "718-585-0888",
            "fax_number": "718-585-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUBAT",
        "first_name": "MICHAEL KRISTIAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-21",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029005",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "029005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forum Mangrola, DO
• Maureen Mangroo
• Lillian Mangru Mangru
• Ashley Irene Mangual, LMSW
• Sonia Mangual
• Nicole Mangulabnan, RN
• Manhattan Anesthesia Services PC
• Manhattan Avenue Medical PC
• Manhattan Oral Facial Surgery LLC
• Manhattan Psychological PLLC

• Physical Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.