Individual provider Active NPI

Kaylynn Charlotte Osborn, DPT

  • Physical Therapist
  • Grinnell, IA
National Provider Identifier
1467944298
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
092197 Issued in IA
Practice address
210 4TH Ave
Grinnell, IA 50112-1898
Phone
(641) 236-2364
NPI assigned
Jun 6, 2018
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 092197 IA Primary

Addresses

Primary practice location

210 4TH Ave
Grinnell, IA 50112-1898

Mailing address

1417 460TH Ave
Montezuma, IA 50171-8450
Phone (712) 730-0029

Other practice location 1

807 Broad St
Grinnell, IA 50112-2153
Phone (641) 236-2953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250313001321 IA Practitioner - Physical Therapist in Private Practice 3274054762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Advantage Plus IncGroup PAC ID 8224145578, 3 clinicians

Practice addresses (Care Compare)

807 Broad St
Grinnell, IA 50112-2153
Phone (641) 236-2953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Advantage Plus Inc CurrentSince Jan 6, 2025 Accepting new patients

Locations

807 Broad St
Grinnell, IA 50112
Phone (641) 236-2953

824 Commercial St
Grinnell, IA 50112
Phone (641) 236-2953

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1467944298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 460TH AVE",
            "city": "MONTEZUMA",
            "state": "IA",
            "postal_code": "501718450",
            "telephone_number": "712-730-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "641-236-2364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 Broad St",
            "address_purpose": "LOCATION",
            "city": "Grinnell",
            "state": "IA",
            "postal_code": "501122153",
            "country_code": "US",
            "telephone_number": "641-236-2953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "KAYLYNN",
        "middle_name": "CHARLOTTE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "092197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grinnell, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.