Shay D Osborne, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1205238 Issued in TX

Practice address

619 E. Calton Rd.
Suite # 3
Laredo, TX 78041

Phone

(956) 722-3377

Fax

(956) 722-3892

NPI assigned

Apr 18, 2007

Last updated

Oct 25, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Miss Shay Danielle Osborne Former name

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain Land Rehabilitation LLCGroup PAC ID 9234048745, 207 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain Land Rehabilitation LLC

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1265549372

  MT

  Medicare reassignment Care Compare group NPD
• 1St Choice Therapy PC

  • Rehabilitation Clinic/Center
  • Laredo, TX
  • NPI 1699070086

  Physical Therapist

  NPD (past)
• A. Yumang Rehab Serivces, PA

  • Physical Therapist
  • Springdale, AR
  • NPI 1356435358
  NPD (past)
• Chirolink Inc.

  dba Advanced Healthcare

  • Primary Care Nurse Practitioner
  • Springdale, AR
  • NPI 1558476564
  NPD (past)
• Nwa Advanced Medicine P.a.

  dba Advanced Healthcare

  • General Practice Physician
  • Fayetteville, AR
  • NPI 1902147689
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1306063904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E. CALTON RD.",
            "address_2": "SUITE # 3",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78041",
            "telephone_number": "956-722-3377",
            "fax_number": "956-722-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 E. CALTON RD.",
            "address_2": "SUITE # 3",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78041",
            "telephone_number": "956-722-3377",
            "fax_number": "956-722-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "SHAY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3126",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1205238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280737201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAY",
            "last_name": "OSBORNE",
            "middle_name": "DANIELLE",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Juanita Martha Ortiz, COTA
• Kristina Ortiz, LPC
• Malquis Ortiz
• Mariana Ortiz
• Mary P Ortiz
• Oscar Benavides MD PA
• Oscar N Lightner MD PA (Bulverde Medical Clinic)
• Yajaida Osoria, NP
• Fabian Boutros Otieno, MD
• Our Guardian Angels Home Health Inc (Our Guardian Angels Home Health)

• Physical Therapist in Laredo, TX
• Providers in Laredo, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.