Healthcare Provider Details

I. General information

NPI: 1033206370
Provider Name (Legal Business Name): CRISTINA RAYNE MADARANG MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CRISTINA RAYNE BALLET MPT

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 HUGH ST
BARNWELL SC
29812-3003
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 803-233-4536
  • Fax:
Mailing address:
  • Phone: 423-238-7217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number9420
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberLPT-033671
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: