Active NPI
Angela Brooke Osburn, OTR/L
- Occupational Therapist
- Hurricane, WV
National Provider Identifier
1235304015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 705
- Practice address
- 179 Station Place Way
Hurricane, WV 25526-8747 - Phone
- (304) 760-6300
- Fax
- (304) 201-5123
- NPI assigned
- Apr 23, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 705 | WV | Primary |
Addresses
Primary practice location
179 Station Place Way
Hurricane, WV 25526-8747
Mailing address
PO Box 450
Scott Depot, WV 25560-0450
Phone (304) 760-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0159757000 | Medicaid | WV |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestones Physical Therapy, Inc. | Occupational Therapist | Past | 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.
-
- Physical Therapist
- Hurricane, WV
- NPI 1003950163
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243209600000",
"number": "1235304015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 450",
"city": "SCOTT DEPOT",
"state": "WV",
"postal_code": "255600450",
"telephone_number": "304-760-6300",
"fax_number": "304-201-5123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 STATION PLACE WAY",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255268747",
"telephone_number": "304-760-6300",
"fax_number": "304-201-5123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBURN",
"first_name": "ANGELA",
"middle_name": "BROOKE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2009-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0159757000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hurricane, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.