Active NPI
Drew Wesley Osborne, P.T., D.P.T
- Physical Therapist
- Dallas, TX
National Provider Identifier
1194190090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1185450
- Practice address
- 3355 Blackburn St
Apt 8310
Dallas, TX 75204-1588 - Phone
- (501) 652-0382
- NPI assigned
- Dec 3, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1185450 | TX | Primary |
Addresses
Primary practice location
3355 Blackburn St
Apt 8310
Dallas, TX 75204-1588
Mailing address
3355 Blackburn St
Apt 8310
Dallas, TX 75204-1588
Phone (501) 652-0382
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1185450 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449100800000",
"number": "1194190090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 BLACKBURN ST",
"address_2": "APT 8310",
"city": "DALLAS",
"state": "TX",
"postal_code": "752041588",
"telephone_number": "501-652-0382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 BLACKBURN ST",
"address_2": "APT 8310",
"city": "DALLAS",
"state": "TX",
"postal_code": "752041588",
"telephone_number": "501-652-0382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "DREW",
"middle_name": "WESLEY",
"credential": "P.T., D.P.T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-03",
"last_updated": "2015-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1185450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.