Healthcare Provider Details

I. General information

NPI: 1255279758
Provider Name (Legal Business Name): CARMELA ALBANO PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W GRAND AVE STE 100A100B
ESCONDIDO CA
92025-2659
US

IV. Provider business mailing address

1650 LYNDON FARM CT STE 300
LOUISVILLE KY
40223-5005
US

V. Phone/Fax

Practice location:
  • Phone: 760-737-8460
  • Fax: 760-739-5669
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number309925
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: