Individual provider Active NPI

Meda Jane Osborne, OTR/L

  • Occupational Therapist
  • Anchorage, AK
National Provider Identifier
1619346723
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1248 Issued in AK
Practice address
3909 Arctic Blvd Ste 102
Anchorage, AK 99503-5769
Phone
(907) 272-1275
Fax
(907) 272-1311
NPI assigned
Sep 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1248 AK Primary

Addresses

Primary practice location

3909 Arctic Blvd Ste 102
Anchorage, AK 99503-5769

Mailing address

6260 Collins Way
Anchorage, AK 99502-2146
Phone (907) 230-7456

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211026003180 FL Practitioner - Occupational Therapist in Private Practice 4385946862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Action Therapy Group LLCGroup PAC ID 6305258013, 69 clinicians

Practice addresses (Care Compare)

101 McAbee CT
Gulf Breeze, FL 32561-4756
Phone (850) 741-6715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1248AKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Action Therapy Group LLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

101 McAbee Ct
Gulf Breeze, FL 32561
Phone (850) 934-1061

3964 Florida Ave
Jay, FL 32565
Phone (850) 675-4000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1619346723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 COLLINS WAY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995022146",
            "telephone_number": "907-230-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 ARCTIC BLVD STE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035769",
            "telephone_number": "907-272-1275",
            "fax_number": "907-272-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "MEDA",
        "middle_name": "JANE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "1248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.