Glendell Mibalo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

052034 Issued in NY

Practice address

1440 70TH St
Brooklyn, NY 11228-1706

Phone

(347) 493-7117

NPI assigned

Jul 18, 2025

Last updated

Jul 18, 2025By 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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York Physical and Occupational Therapy Services, PLLCGroup PAC ID 6305144775, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• New York Physical and Occupational Therapy Services, PLLC

  dba New York Therapy And Wellness

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1356703631

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1952293326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 70TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 70TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281706",
            "telephone_number": "347-493-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIBALO",
        "first_name": "GLENDELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mi Miao
• Xiuyun Miao
• Yanlei Miao
• Rameen Miarrostami, MD
• Miava Tuly LLC
• Mary Elizabeth Micari, DAC, LAC
• Vincent Ferdinand Miccio Jr., M.D.
• Paulina Micek, DDS
• Laura Catherine Miceli
• Ronald Miceli

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, 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 18, 2025; 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.