Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Aldo Jose Bustamante

Individual provider Physical Therapist · NPI 1376420190

Aldo Jose Bustamante is a Physical Therapist in Private Practice in Roswell, Georgia. Graduated from Philadelphia College of Osteopathic Medicine in 2025, 1 year ago. Practices with Team Rehabilitation Services LLC, a 569-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
GA
In the registry since
2025
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Practice location Address checks out

1570 Holcomb Bridge Rd Ste 205
Roswell, GA 30076-4715
Phone: (678) 619-0003
Fax: (678) 619-0004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT017898 (GA)

Record details

NPI number1376420190
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2025
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2025 (1 years in practice)
Group practice Team Rehabilitation Services Llc — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Roswell