Tanisha Mangon is one of 1,896 nurse practitioners practicing in Dallas, Texas .
Tanisha Mangon practices with Powerback Rehabilitation LLC.
Registry record (NPPES)
NPI
1770896953
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Address on file
14090 Southwest Fwy Ste 300
Enumerated
Jul 16, 2010
Record last updated
Jul 11, 2025
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
The registry stops here. NPivot keeps going.
Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
See the full profile free
Free account. No card, no call.
Practice locations
12400 Preston RdDallas , TX 75230
More nurse practitioners in Dallas
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
NPivot · NPI lookup & provider intelligence
NPivot uses data from public CMS, NPPES & HRSA sources and is not affiliated with, endorsed by, or sponsored by CMS, HRSA, or any government agency. © 2026 NPivot · a Next Tier Careers product.