Michael Ray Osborne, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

001423 Issued in WV

Practice address

Route 92 at Route 60
Genesis Healthcare
White Sulphur Springs, WV 24986

Phone

(304) 536-4661

NPI assigned

May 21, 2009

Last updated

Sep 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Boone Memorial Homecare, LLC

  dba Boone Memorial HomeCare

  • Home Health Agency
  • Danville, WV
  • NPI 1184848970
  NPD (past)

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1831324797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4762 COUNTRY RD",
            "city": "CYCLONE",
            "state": "WV",
            "postal_code": "248279438",
            "telephone_number": "304-923-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 92 AT ROUTE 60",
            "address_2": "GENESIS HEALTHCARE",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "24986",
            "telephone_number": "304-536-4661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "298 Tricorn Rd",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "WV",
            "postal_code": "250537148",
            "country_code": "US",
            "telephone_number": "304-369-1385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "MICHAEL",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-21",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "001423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randolph Eugene Modlin, M.D.
• Savanna Patricia Morgan
• Andrea Mullins
• NMB Therapeutics LLP
• Daniel Wallace Nunley, DDS
• Melanie Pack, RPH
• Joey Palmer
• Andrea Pennington
• Raymond Lee Plumley Jr., PTA
• Cady Pugh, COTA/L

• Physical Therapy Assistant in White Sulphur Springs, WV
• Providers in White Sulphur Springs, WV by specialty
• Physical Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.