Individual provider Active NPI

Audrey Osburn, OTR/L

  • Pediatric Occupational Therapist
  • Redwood City, CA
National Provider Identifier
1225378789
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
14527 Issued in CA
Practice address
1060 Twin Dolphin Dr
Suite 100
Redwood City, CA 94065-1133
Phone
(650) 631-9999
NPI assigned
Feb 20, 2013
Last updated
Aug 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 115276 TX
Pediatric Occupational Therapist 225XP0200X 14527 CA Primary

Addresses

Primary practice location

1060 Twin Dolphin Dr
Suite 100
Redwood City, CA 94065-1133

Mailing address

1200 E Hillsdale Blvd
Apt 19B
Foster City, CA 94404-1221
Phone (317) 502-8113

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

LicenseStateTypeSpecialty
14527CAMDOptometrist
115276TXMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1225378789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E HILLSDALE BLVD",
            "address_2": "APT 19B",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041221",
            "telephone_number": "317-502-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 TWIN DOLPHIN DR",
            "address_2": "SUITE 100",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940651133",
            "telephone_number": "650-631-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBURN",
        "first_name": "AUDREY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "115276",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "14527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.