Renato M Alburo, P.T.
Individual provider Active NPI Physical Therapist · Madison, IN
NPI 1336472018 · NPPES record last updated Jan 14, 2010
Key facts
- NPI
- 1336472018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05005559A (IN)
- Practice address
- 3230 N Audubon Park Rd
Madison, IN 47250-7820 - Phone
- (347) 405-3592
- NPI assigned
- Sep 11, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 05005559A | IN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05005559A | IN | Yes |
Addresses
Primary practice location
3230 N Audubon Park Rd
Madison, IN 47250-7820
Mailing address
3220 N Audubon Park Drive
Madison, IN 47250
Phone (347) 405-3592
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000639798 | Other | IN | BLUE CROSS BLUE SHIELD |
| 000000641772 | Other | IN | BLUE CROSS BLUE SHIEL |
Other providers in Madison, IN
- A & a Business Enterprises, Inc
- George L. Alcorn
- Jenna Aleea Ali
- All Kids Can Therapy Services LLC
- All Kids Can Therapy Services LLC
- Mandy Corinne Althoff
All providers in Madison, 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 14, 2010. 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.