Active NPI
Racel Elizabeth Ossino, PTA
- Physical Therapy Assistant
- Kalamazoo, MI
National Provider Identifier
1396524971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5502005879
- Practice address
- 6563 W Main St Lowr Level
Kalamazoo, MI 49009-4051 - Phone
- (269) 488-3320
- Fax
- (269) 372-6113
- NPI assigned
- Sep 25, 2023
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502005879 | MI | Primary |
Addresses
Primary practice location
6563 W Main St Lowr Level
Kalamazoo, MI 49009-4051
Mailing address
6563 W Main St Lowr Level
Kalamazoo, MI 49009-4051
Phone (269) 488-3320
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5502005879 | MI | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Services of West Michigan LLC | Current | Accepting new patients | |
| Physical Therapy Services of Lansing, LLC | Past | Accepting new patients |
Locations
6563 W Main St
Lowr
Kalamazoo, MI 49009
Phone (269) 372-8483
Organizations & group practices 2
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
- Kalamazoo, MI
- NPI 1508895806
-
- Physical Therapy Clinic/Center
- Lansing, MI
- NPI 1225229560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1396524971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6563 W MAIN ST LOWR LEVEL",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490094051",
"telephone_number": "269-488-3320",
"fax_number": "269-372-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6563 W MAIN ST LOWR LEVEL",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490094051",
"telephone_number": "269-488-3320",
"fax_number": "269-372-6113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSSINO",
"first_name": "RACEL",
"middle_name": "ELIZABETH",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "5502005879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.