Maxwell James Albanese, PT, DPT

Individual provider Active NPI Physical Therapist · Warner Robins, GA

NPI 1003441676 · NPPES record last updated Mar 4, 2020

Key facts

NPI
1003441676
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT012431 (GA)
Practice address
3051 Watson Blvd Ste 525
Warner Robins, GA 31093-8556
Phone
(478) 953-4563
NPI assigned
Mar 4, 2020
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT012431GAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT012431 GA Yes

Addresses

Primary practice location

3051 Watson Blvd Ste 525
Warner Robins, GA 31093-8556

Mailing address

3051 Watson Blvd Ste 525
Warner Robins, GA 31093-8556
Phone (478) 953-4563

Other providers in Warner Robins, GA

All providers in Warner Robins, GA · Physical Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.