Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mangostana LLC

Organization Physical Therapist · NPI 1033991443

Mangostana LLC is a Physical Therapist in Albuquerque, New Mexico. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1020 Coal Ave SE
Albuquerque, NM 87106-5206
Phone: (505) 221-6475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1033991443
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Chan — Owner/ Therapist · (505) 221-6475
NPI enumeratedOctober 19, 2023
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023
Mailing address6804 Kelly Ann Rd Ne, Albuquerque, NM 87109-3769

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