Active NPI
Richard Osborne Jr., MS, OTR/L
- Occupational Therapist
- Bowie, MD
National Provider Identifier
1922437656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 05040
- Practice address
- 2616 Rose Mount LN
Bowie, MD 20721-1878 - Phone
- (646) 623-6581
- Fax
- (301) 782-3340
- NPI assigned
- Nov 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 05040 | MD | Primary |
| Occupational Therapist | 225X00000X | OT010000831 | DC |
Addresses
Primary practice location
2616 Rose Mount LN
Bowie, MD 20721-1878
Mailing address
9714 Spinnaker St
Cheltenham, MD 20623-1354
Phone (646) 623-6581
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05040 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1922437656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9714 SPINNAKER ST",
"city": "CHELTENHAM",
"state": "MD",
"postal_code": "206231354",
"telephone_number": "646-623-6581",
"fax_number": "301-782-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2616 ROSE MOUNT LN",
"city": "BOWIE",
"state": "MD",
"postal_code": "207211878",
"telephone_number": "646-623-6581",
"fax_number": "301-782-3340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "RICHARD",
"name_suffix": "Jr.",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-04",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "05040",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "DC",
"license": "OT010000831",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.