Individual provider Active NPI

Amanda Osborne, DPT

  • Physical Therapist
  • Dayton, OH
National Provider Identifier
1851073894
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020508 Issued in OH
Practice address
6438 Wilmington Pike Ste 230
Dayton, OH 45459-7021
Phone
(937) 558-3810
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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 PT020508 OH Primary

Addresses

Primary practice location

6438 Wilmington Pike Ste 230
Dayton, OH 45459-7021

Mailing address

2110 Lake Glen CT Apt D
Centerville, OH 45459-4846

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240705002610 OH Practitioner - Physical Therapist in Private Practice 8921542523 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mayfield Clinic Inc CurrentSince Jun 1, 2024 Accepting new patients
Mayfield Clinic Inc Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Kettering Medical Center PastSince Aug 6, 2023 Accepting new patients

Locations

3825 Edwards Rd
Ste 300
Cincinnati, OH 45209

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

9075 Centre Pointe Dr
Ste 200
West Chester, OH 45069

Interoperability endpoints

  • Direct secure messaging: amanda.osborne@mayfield.eclinicaldirectplus.com

Organizations & group practices 3

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": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1851073894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 LAKE GLEN CT APT D",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6438 WILMINGTON PIKE STE 230",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454597021",
            "telephone_number": "937-558-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.