NPIMap

Organization Active NPI

Cynthia Osborn Physical Therapy

  • Physical Therapy Clinic/Center
  • Milford, MI
National Provider Identifier
1285983767
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501002197 Issued in MI
Legal business name
CYNTHIA OSBORN PHYSICAL THERAPY
Practice address
1100 Corporate Center Dr
Suite 100
Milford, MI 48381
Phone
(248) 360-6866
Fax
(248) 360-6866
NPI assigned
Aug 30, 2012
Last updated
Aug 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Cynthia Jean OsbornNPI 1922205228
Title
Physical Therapist
Phone
(248) 360-6866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501002197 MI Primary

Addresses

Primary practice location

1100 Corporate Center Dr
Suite 100
Milford, MI 48381

Mailing address

9516 Roundlake Blvd
White Lake, MI 48386-3969
Phone (248) 360-6866

Other identifiers 2

IdentifierTypeStateIssuer
650F358050OtherMIBCBS
MI3089OtherMIMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1285983767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9516 ROUNDLAKE BLVD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483863969",
            "telephone_number": "248-360-6866",
            "fax_number": "248-360-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CORPORATE CENTER DR",
            "address_2": "SUITE 100",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "48381",
            "telephone_number": "248-360-6866",
            "fax_number": "248-360-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA OSBORN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "248-360-6866"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501002197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "650F358050",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MI3089",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.