Christopher Stephen Gangan Ibarola
NPI 1689463317ActiveIndividual· Physical Therapist· Saipan, MP
Physical Therapist in Saipan, Northern Mariana Islands, licensed in MP and NY, with an NPI issued in April 2025. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1689463317 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 30, 2025 |
| Last updated in NPPES | Apr 30, 2025 |
| Certified by provider | Apr 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 0065 | MP |
| Physical Therapist | 225100000X | 040180 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MP) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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