Active NPI
Carly Lynn Osborne I, MS,OTR/L
- Contractor
- Howard Beach, NY
National Provider Identifier
1124271317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 010451-1
- Practice address
- 162-11 96TH Street
Howard Beach, NY 11414-3119 - Phone
- (718) 835-3123
- NPI assigned
- Oct 31, 2008
- Last updated
- Oct 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 010451-1 | NY | Primary |
Addresses
Primary practice location
162-11 96TH Street
Howard Beach, NY 11414-3119
Mailing address
159-39 91St Street
Howard Beach, NY 11414-3119
Phone (646) 872-9436
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010451-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225411200000",
"number": "1124271317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159-39 91ST STREET",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114143119",
"telephone_number": "646-872-9436",
"fax_number": "718-949-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162-11 96TH STREET",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114143119",
"telephone_number": "718-835-3123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "CARLY",
"middle_name": "LYNN",
"name_prefix": "Miss",
"name_suffix": "I",
"credential": "MS,OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-31",
"last_updated": "2008-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "010451-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Howard Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.