Active NPI
Suzanne Osborne, PT
- Physical Therapist
- Newington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007025
- Practice address
- 181 Patricia Genova Drive
Eastern Rehabilitation Network (5TH Floor)
Newington, CT 06111 - Phone
- (860) 667-5480
- Fax
- (860) 667-8416
- NPI assigned
- Oct 17, 2006
- Last updated
- Jul 8, 2007
- 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 Therapist | 225100000X | 007025 | CT | Primary |
Addresses
Primary practice location
181 Patricia Genova Drive
Eastern Rehabilitation Network (5TH Floor)
Newington, CT 06111
Mailing address
181 Patricia Genova Drive
Eastern Rehabilitation Network (5TH Floor)
Newington, CT 06111
Phone (860) 667-5480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
302 W Main St
Suite 204
Avon, CT 06001-4306
Phone (860) 679-0430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007025 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magna Physical Therapy & Golf Medicine Center, LLC | Current | Accepting new patients | |
| Eastern Rehabilitation Network Headache Clinic | Physical Therapist | Past | Accepting new patients |
Locations
302 W Main St
Ste 204
Avon, CT 06001
Phone (860) 679-0430
61 Maple Ave
Ste 2
Collinsville, CT 06019
Phone (860) 352-2463
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Avon, CT
- NPI 1548411234
-
- Occupational Therapist
- East Hartford, CT
- NPI 1205042793
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407937667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 PATRICIA GENOVA DRIVE",
"address_2": "EASTERN REHABILITATION NETWORK (5TH FLOOR)",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "06111",
"telephone_number": "860-667-5480",
"fax_number": "860-667-8416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 PATRICIA GENOVA DRIVE",
"address_2": "EASTERN REHABILITATION NETWORK (5TH FLOOR)",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "06111",
"telephone_number": "860-667-5480",
"fax_number": "860-667-8416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "SUZANNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "007025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.