Epimaelene Portia Pasigna Mangila

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT23627 Issued in FL

Practice address

2162 Oakmont Dr
Riviera Beach, FL 33404-1831

Phone

(561) 629-2836

NPI assigned

Feb 5, 2021

Last updated

Feb 5, 2021By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1891387460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 OAKMONT DR",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334041831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 OAKMONT DR",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334041831",
            "telephone_number": "561-629-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGILA",
        "first_name": "EPIMAELENE PORTIA",
        "middle_name": "PASIGNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.