Organization Active NPI

Body

  • Orthopedic Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1902761323
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
BODY
Practice address
8686 Bay Pkwy
Brooklyn, NY 11214-5119
Phone
(347) 605-7946
Fax
(718) 585-0880
NPI assigned
Dec 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Mr. Michael Kristian Mangubat
Title
Ceo
Phone
(347) 605-7946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

8686 Bay Pkwy
Brooklyn, NY 11214-5119

Mailing address

6 Litchult CT
Airmont, NY 10901-7511
Phone (347) 605-7946

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1902761323",
    "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",
            "fax_number": "718-585-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8686 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145119",
            "telephone_number": "347-605-7946",
            "fax_number": "718-585-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "MANGUBAT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KRISTIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-605-7946",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.