Individual provider Active NPI

Alduaine Jose Redublo, PT,CWS,NCS

  • Physical Therapist
  • Corpus Christi, TX
National Provider Identifier
1780825729
Registry record updated Mar 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1104354 Issued in TX
Practice address
7329 New Brunswick Dr
Corpus Christi, TX 78414-3233
Phone
(361) 991-5145
Fax
(361) 991-5145
NPI assigned
Mar 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1104354 TX Primary
Neurology Physical Therapist 2251N0400X 12425 TX

Addresses

Primary practice location

7329 New Brunswick Dr
Corpus Christi, TX 78414-3233

Mailing address

7329 New Brunswick Dr
Corpus Christi, TX 78414-3233
Phone (361) 991-5145

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

LicenseStateTypeSpecialty
1104354TXMDPhysical Therapist
12425TXMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237680000000",
    "number": "1780825729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7329 NEW BRUNSWICK DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143233",
            "telephone_number": "361-991-5145",
            "fax_number": "361-991-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7329 NEW BRUNSWICK DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143233",
            "telephone_number": "361-991-5145",
            "fax_number": "361-991-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDUBLO",
        "first_name": "ALDUAINE",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "PT,CWS,NCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-22",
        "last_updated": "2009-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1104354",
            "primary": true
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TX",
            "license": "12425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.