Individual provider Active NPI

Amy Lee Osoria, PT, DPT, CKTP

  • Physical Therapist
  • Castroville, TX
National Provider Identifier
1124319561
Registry record updated Jan 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1191653 Issued in TX
Practice address
451 Private Road 5769
Castroville, TX 78009-2157
Phone
(830) 538-3344
Fax
(830) 931-7277
NPI assigned
Apr 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1191653 TX Primary

Addresses

Primary practice location

451 Private Road 5769
Castroville, TX 78009-2157

Mailing address

451 Private Road 5769
Castroville, TX 78009-2157
Phone (830) 931-7277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110526000594 TX Practitioner - Physical Therapist in Private Practice 9830376946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

451 Private Rd
Suite 5769
Castroville, TX 78009-2157
Phone (830) 931-7277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Free Range Physical Therapy PLLC Physical Therapist CurrentSince Jul 14, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1124319561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 PRIVATE ROAD 5769",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780092157",
            "telephone_number": "830-931-7277",
            "fax_number": "830-202-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 PRIVATE ROAD 5769",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780092157",
            "telephone_number": "830-538-3344",
            "fax_number": "830-931-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSORIA",
        "first_name": "AMY",
        "middle_name": "LEE",
        "credential": "PT, DPT, CKTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1191653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castroville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.