Individual provider Active NPI

Gary Alexander Osses, M.S. OTR/L

  • Physical Medicine & Rehabilitation Physician
  • Fountain Hills, AZ
National Provider Identifier
1609169317
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4467 Issued in AZ
Practice address
17100 E Shea Blvd Ste 225
Fountain Hills, AZ 85268-6744
Phone
(480) 837-4565
NPI assigned
May 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4467 AZ Primary

Addresses

Primary practice location

17100 E Shea Blvd Ste 225
Fountain Hills, AZ 85268-6744

Mailing address

1479 S Buckaroo TRL
Gilbert, AZ 85296-7334
Phone (480) 415-7531

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4467AZMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1609169317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 S BUCKAROO TRL",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852967334",
            "telephone_number": "480-415-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 E SHEA BLVD STE 225",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852686744",
            "telephone_number": "480-837-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSSES",
        "first_name": "GARY",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "M.S. OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "4467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.