Michelle Gallardo Bansagan Encabo, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01340100 Issued in NJ

Practice address

902 N 5TH St
Unit C-103
Newark, NJ 07107-4804

Phone

(973) 732-4822

Fax

(973) 732-4821

NPI assigned

Aug 10, 2011

Sex

Male

Sole proprietor

No

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

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 and National Provider Directory roles.

• Holsman Physical and Occupational Therapy PC

  • Physical Therapist
  • Rahway, NJ
  • NPI 1659079069
  NPD
• Rejuvenate Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Englewood, NJ
  • NPI 1346480738
  NPD (past)

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1992084867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 POMPTON AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091813",
            "telephone_number": "973-433-0732",
            "fax_number": "973-433-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N 5TH ST",
            "address_2": "UNIT C-103",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071074804",
            "telephone_number": "973-732-4822",
            "fax_number": "973-732-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCABO",
        "first_name": "MICHELLE GALLARDO",
        "middle_name": "BANSAGAN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-10",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01340100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empire Medical II, LLC
• Empower Healthy Communities Inc
• Empowerment Community Care, Inc.
• Empowerment Construction & Development
• Empowerment Construction & Development
• Saudi Encarnacion, L.S.W.
• Enchime LLC
• Chidimma Michelle Enekebe, LCSW
• Chisom Enekebe
• Ifeoma Enekebe

• Physical Therapist in Newark, NJ
• Providers in Newark, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.