Joy Alfonso
Individual provider Active NPI Physical Therapist · Bloomington, IN
NPI 1255848388 · NPPES record last updated Jan 10, 2018
Key facts
- NPI
- 1255848388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05004065A (IN)
- Practice address
- 450 S Stardust Cir
Bloomington, IN 47403-8707 - Phone
- (812) 369-5808
- NPI assigned
- Jan 10, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05004065A | IN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05004065A | IN | Yes |
Addresses
Primary practice location
450 S Stardust Cir
Bloomington, IN 47403-8707
Mailing address
118 Medical Dr
Carmel, IN 46032-2923
Other providers in Bloomington, IN
- Vincent Albright
- Ashley Nichole Alexander
- Denise M Alexander
- Erin Alexander
- L. Blair Alexander
- Laura Ann Alford
- Mohamad Alghothani
- Majeid Yousef Ali
- Jerome Jay Alib
- Align Missions Inc
All providers in Bloomington, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.