Individual provider Active NPI

Lea Angelica Mayangao, PHYSICAL THERAPY

  • Physical Therapist
  • New York, NY
National Provider Identifier
1932677671
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043284 Issued in NY
Practice address
98 E 4TH St
New York, NY 10003-9001
Phone
(646) 230-8190
Fax
(646) 230-8185
NPI assigned
Nov 12, 2018
Last updated
Mar 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 043284 NY Primary

Addresses

Primary practice location

98 E 4TH St
New York, NY 10003-9001

Mailing address

30 Main Ter
Bloomfield, NJ 07003-4012
Phone (551) 232-7495

Other practice location 1

3135 31st St
Long Island City, NY 11106-2591
Phone (718) 274-1300

Other identifiers 1

IdentifierTypeStateIssuer
M09534507453922OtherNJSTATE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220110000287 NY Practitioner - Physical Therapist in Private Practice 8527450246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Upper Manhattan Physical Therapy PCGroup PAC ID 2769814383, 3 clinicians
Astoria Physical Therapy Rehabilitation PCGroup PAC ID 9032450242, 2 clinicians

Practice addresses (Care Compare)

232 E 66TH St
New York, NY 10065-9100
Phone (917) 267-7470

3001 Astoria Blvd
Astoria, NY 11102-1739
Phone (917) 267-7470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043284NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Manhattan Physical Therapy PC Physical Therapist CurrentSince Dec 15, 2021 Accepting new patients
Astoria Physical Therapy Rehabilitation PC Physical Therapist CurrentSince Jun 2, 2023 Accepting new patients
Pappas Physical Medicine & Rehabilitation, PLLC PastSince Apr 19, 2010 Accepting new patients

Locations

3001 Astoria Blvd
Astoria, NY 11102
Phone (732) 898-3932

232 E 66th St
New York, NY 10065
Phone (212) 785-9620

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1932677671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MAIN TER",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034012",
            "telephone_number": "551-232-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 E 4TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100039001",
            "telephone_number": "646-230-8190",
            "fax_number": "646-230-8185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3135 31st St",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111062591",
            "country_code": "US",
            "telephone_number": "718-274-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYANGAO",
        "first_name": "LEA ANGELICA",
        "name_prefix": "Miss",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "M09534507453922",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.