Michael Osterbur, PT, DPT, MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4510 Issued in AR

Practice address

1401 S J St
Fort Smith, AR 72901-5158

Phone

(479) 785-3300

Fax

(479) 785-8564

NPI assigned

Apr 30, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Natural State Integrative Medicine, P.a.

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1669938684
  NPD

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1285255257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 S ZERO ST APT 2912",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036959",
            "telephone_number": "618-420-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S J ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729015158",
            "telephone_number": "479-785-3300",
            "fax_number": "479-785-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERBUR",
        "first_name": "MICHAEL",
        "credential": "PT, DPT, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "4510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendian Ozzie James Osborn, RN
• Devron Lee Kelley Osborne, D. O.
• Martha Osbun, P.T.
• Adetola Fatimah Oshikoya, M.D.
• Alan Leo Osowski, D.C.
• Jeffry Ostrander, MD
• Osu Center for Health Sciences
• Kurt Oswald, MHPP
• Nathan Otten, LPC
• Yong Ounpraseuth, APRN

• Physical Therapist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.