Active NPI
Anthony D Mangubat, PT
- Physical Therapist
- Tallahassee, FL
National Provider Identifier
1952352569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT10456
- Practice address
- 1381C Cross Creek Cir
Tallahassee, FL 32301-3729 - Phone
- (850) 656-3163
- Fax
- (850) 656-3463
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT10456 | FL | Primary |
Addresses
Primary practice location
1381C Cross Creek Cir
Tallahassee, FL 32301-3729
Mailing address
1709 Scarlett Blvd
Lynn Haven, FL 32444-8324
Phone (850) 277-0455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.26 of 100
- Quality
- 86.58
- Improvement activities
- 40
- Cost
- 68.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT10456 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| R&R Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
Locations
5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627
Organizations & group practices 2
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.
-
- Physical Therapist
- Jacksonville, FL
- NPI 1114542032
-
- Physical Therapist
- Tallahassee, FL
- NPI 1306843164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1952352569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 SCARLETT BLVD",
"city": "LYNN HAVEN",
"state": "FL",
"postal_code": "324448324",
"telephone_number": "850-277-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1381C CROSS CREEK CIR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323013729",
"telephone_number": "850-656-3163",
"fax_number": "850-656-3463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGUBAT",
"first_name": "ANTHONY",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT10456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.