Tina Osburn, OTR/L

Primary specialty

SpecialistTaxonomy code 174400000X

License

OTR641 Issued in AR

Practice address

205 Plaza Blvd
Cabot, AR 72023-3749

Phone

(501) 628-0063

Fax

(501) 628-0066

NPI assigned

Sep 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Building Bridges Developmental and Community Services

  • Developmental Disabilities Clinic/Center
  • Lonoke, AR
  • NPI 1649280140
  NPD (past)
• Stephen a. Joseph, P.T. P.a.

  • Physical Therapy Clinic/Center
  • Rogers, AR
  • NPI 1720395676
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891899357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980",
            "city": "LONOKE",
            "state": "AR",
            "postal_code": "720860980",
            "telephone_number": "501-676-2786",
            "fax_number": "501-676-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PLAZA BLVD",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233749",
            "telephone_number": "501-628-0063",
            "fax_number": "501-628-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBURN",
        "first_name": "TINA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "OTR641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125881721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne Odom, PT
• Bennisa Manuela Okai
• Julie A Olson, RD
• Greg Orlicek, RPH
• Anne Marie Osburn, LCSW
• Amanda Oshields, PHARMD
• Cynthia Ospina, MHPP
• Clayton L Owen, D.D.S., M.S.
• Rebecca Owen, QBHP
• Sarah Ann Palmer

• Specialist in Cabot, AR
• Providers in Cabot, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.