Active NPI
Renato M Alburo, P.T.
- Physical Therapist
- Madison, IN
National Provider Identifier
1336472018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05005559A
- Practice address
- 3230 N Audubon Park Rd
Madison, IN 47250-7820 - Phone
- (347) 405-3592
- NPI assigned
- Sep 11, 2009
- Last updated
- Jan 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05005559A | IN | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05005559A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263427200000",
"number": "1336472018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 N AUDUBON PARK DRIVE",
"city": "MADISON",
"state": "IN",
"postal_code": "47250",
"telephone_number": "347-405-3592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 N AUDUBON PARK RD",
"city": "MADISON",
"state": "IN",
"postal_code": "472507820",
"telephone_number": "347-405-3592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBURO",
"first_name": "RENATO",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-11",
"last_updated": "2010-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05005559A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.