MEDICARE: CARMELA ALBANO PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	309925	CA

General Provider Information

NPI Number	:	1255279758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMELA ALBANO PT

Provider Business Mailing Address
First Line	:	1650 LYNDON FARM CT STE 300
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-5005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 W GRAND AVE STE 100A100B
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92025-2659
Country	:	US
Telephone Number	:	760-737-8460
Fax Number	:	760-739-5669

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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