Active NPI
Tinika Osborne, PT
- Physical Therapist
- Bentonville, AR
National Provider Identifier
1215172895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 2993
- Practice address
- 908 NW 8TH St
Bentonville, AR 72712-4561 - Phone
- (479) 273-1141
- NPI assigned
- Dec 10, 2008
- Sex
- Female
- Sole proprietor
- No
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 | PT 2993 | AR | Primary |
Addresses
Primary practice location
908 NW 8TH St
Bentonville, AR 72712-4561
Mailing address
17950 Clear Water Rd
Fayetteville, AR 72704-5896
Phone (479) 595-1896
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2993 | AR | MD | Dentist |
| PT 2993 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark Orthopaedics, P.a. | Past | Accepting new patients | |
| Pathfinder, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Ozark Orthopaedic and Sports Medicine
- Orthopaedic Surgery Physician
- Fayetteville, AR
- NPI 1649210584
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jacksonville, AR
- NPI 1629035043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293580800000",
"number": "1215172895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17950 CLEAR WATER RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727045896",
"telephone_number": "479-595-1896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 NW 8TH ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727124561",
"telephone_number": "479-273-1141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "TINIKA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-10",
"last_updated": "2010-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT 2993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.