Individual provider Active NPI

Renea Sue Osborne, PTA

  • Physical Therapy Assistant
  • Charleston, WV
National Provider Identifier
1326724774
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
002269 Issued in WV
Practice address
100 Kanawha Blvd W
Charleston, WV 25302-2300
Phone
(304) 346-9667
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 002269 WV Primary

Addresses

Primary practice location

100 Kanawha Blvd W
Charleston, WV 25302-2300

Mailing address

882 Horse Fork Rd
Wallback, WV 25285-9532
Phone (304) 932-5440

Other practice location 1

213 Crossings Mall Rd
Elkview, WV 25071-9230
Phone (304) 965-7979

Other names 1

  • Ms. Renea Sue Howell Former name

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
002269WVMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1326724774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 HORSE FORK RD",
            "city": "WALLBACK",
            "state": "WV",
            "postal_code": "252859532",
            "telephone_number": "304-932-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KANAWHA BLVD W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022300",
            "telephone_number": "304-346-9667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 Crossings Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Elkview",
            "state": "WV",
            "postal_code": "250719230",
            "country_code": "US",
            "telephone_number": "304-965-7979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "RENEA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "002269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEA",
            "last_name": "HOWELL",
            "middle_name": "SUE",
            "prefix": "MS.",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.