Active NPI
Tara Osborne
- Physical Therapist
- McCall, ID
National Provider Identifier
1477843811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2551
- Practice address
- 300 Stibnite Ave Unit 1
McCall, ID 83638-4407 - Phone
- (800) 588-2539
- Fax
- (208) 329-5807
- NPI assigned
- Apr 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 2551 | ID | Primary |
Addresses
Primary practice location
300 Stibnite Ave Unit 1
McCall, ID 83638-4407
Mailing address
13762 Nisula Rd
McCall, ID 83638-5072
Phone (208) 794-6869
Other names 1
- Tara Osborne
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
300 Stibnite Ave
Unit 1
McCall, ID 83638-4407
Phone (800) 588-2539
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2551 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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
- McCall, ID
- NPI 1588333256
-
- Physical Therapist
- Burley, ID
- NPI 1609093434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1477843811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13762 NISULA RD",
"city": "MCCALL",
"state": "ID",
"postal_code": "836385072",
"telephone_number": "208-794-6869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 STIBNITE AVE UNIT 1",
"city": "MCCALL",
"state": "ID",
"postal_code": "836384407",
"telephone_number": "800-588-2539",
"fax_number": "208-329-5807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "TARA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-18",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "2551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "OSBORNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in McCall, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.