MS. KELLY A OSBORN (NPI# 1588656284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588656284 |
| Entity Type | Individual |
| Full Name | MS. KELLY A OSBORN |
| Other Name | MS. KELLY A FRY |
| Credential | BS PT |
| Practice Address |
10004 204th Ave E Ste 3100 Bonney Lake WA 98391-6539 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 2538637510 |
| Practice Fax Number | 2538635970 |
| Mailing Telephone | 6302962223 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2015-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT00006442 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEPT OF L&I | 158113 | 01 |
| WA | R/R MED PC | 650023301 | 01 |
| WA | REGENCE BS | 5342OB | 01 |
| WA | 8334062 | 05 | |
| WA | DEPT. OF LABOR AND INDUSTRIES | 0291100 | 01 |
| WA | CRIME VICTIMS | 8936257 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720549231 | Kelly Osborn | Hearing Instrument Specialist | 6375 N Wickham Rd Ste 106, Melbourne, FL 32940-2013 | 2019-03-27 |
| 1982016754 | Kelly Osborn | Nurse Anesthetist, Certified Registered | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2014-05-28 |
| Street Address |
10004 204TH AVE E STE 3100 |
| City | BONNEY LAKE |
| State | WA |
| Zip Code | 98391-6539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946459 | Jean Piere Nieves | Physician Assistant | 10004 204th Ave E, Bonney Lake, WA 98391-6539 | 2020-03-05 |
| 1508408923 | Heidi Rose Heiser | Midwife | 10004 204th Ave E, Bonney Lake, WA 98391-6539 | 2019-10-17 |
| 1881189470 | Kristina Omalley Dubow | Midwife | 10004 204th Ave E, Bonney Lake, WA 98391 | 2018-06-26 |
| 1588115158 | Sujin Lee | Pharmacist | 10004 204th Ave E, Bonney Lake, WA 98391-6539 | 2016-10-19 |
| 1487101994 | Chi Ming Chan | Pharmacist | 10004 204th Ave E, #1100, Bonney Lake, WA 98391-6539 | 2016-09-01 |
| 1487015657 | Kala Gardner | Occupational Therapist | 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391-6539 | 2016-03-15 |
| 1073985057 | Bryan James Antonius | Radiologic Technologist | 10004 204th Ave E, Suite 2600, Bonney Lake, WA 98391-6539 | 2015-10-29 |
| 1487023701 | Rachel Pruessing | Physical Therapist | 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391-6539 | 2015-09-16 |
| 1891161865 | Julia Morris | Nurse Practitioner | 10004 204th Ave E, #3400, Bonney Lake, WA 98391-6539 | 2015-08-13 |
| 1891192282 | Christa Diane Fonda | Dietitian, Registered | 10004 204th Ave E, Bonney Lake, WA 98391-6539 | 2014-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218814 | Lenny Yann | Pharmacist | 21301 Wa 410, Bonney Lake, WA 98391 | 2020-09-08 |
| 1497244552 | Kayla Grasso | Technician, Other | 18444 139th Street East, Bonney Lake, WA 98391 | 2018-05-04 |
| 1407359151 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 9801 204th Ave E, Bonney Lake, WA 98391 | 2018-03-08 |
| 1992217152 | Rachel Renee Andringa | Massage Therapist | 19102 Wa-410, Bonney Lake, WA 98391 | 2017-10-27 |
| 1437679099 | Emily A. Hansen | Occupational Therapist | 12202 209th Ave Ct. E., Liberty Ridge Elementary School, Bonney Lake, WA 98391 | 2017-06-26 |
| 1245782986 | Advance Behavior Education Continuum, Inc | Behavioral Analyst | 2305 164th Ave Ct, Bonney Lake, WA 98391 | 2016-10-28 |
| 1619343191 | Lauren Christine Difolco | Specialist | 10920 199th Ave. Ct. E., Bonney Lake Hs, Bonney Lake, WA 98391 | 2015-08-19 |
| 1699018192 | Michael Nelson | Dentist | 2803 176th Ave East, Lake Tapps, WA 98391 | 2013-04-03 |
| 1700141066 | Jacqueline Nguyen | Pharmacist | 20025 State Route 410 E, Bonney Lake, WA 98391 | 2012-07-11 |
| 1265737860 | Braden Shingleton | Massage Therapist | 19102 Sr 410 E Suite A, Bonney Lake, WA 98391 | 2011-01-13 |
| Find all providers in zip 98391 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881772812 | Jonathan E Erickson | Physical Therapist | 21525 Hwy 410 E, Bonney Lake, WA 98391-4101 | 2006-11-01 |
| 1346232022 | Holly Pennington | Physical Therapist | 8910 184th Ave E, Bonney Lake, WA 98391-8531 | 2005-08-18 |
| 1609482553 | Jacob Henderson | Physical Therapist | 21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101 | 2020-09-16 |
| 1609489657 | Morgan Highfill | Physical Therapist | 21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101 | 2020-08-28 |
| 1609487388 | Brandon Roadman | Physical Therapist | 10004 204th Ave E Ste 3100, Bonney Lake, WA 98391-6540 | 2020-08-14 |
| 1386282242 | Jacob Erickson | Physical Therapist | 21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101 | 2019-12-11 |
| 1285108647 | Jelani Naja Parker | Physical Therapist | 10004 204th Ave E Ste 3100, Bonney Lake, WA 98391-6540 | 2019-01-17 |
| 1053807511 | Megan Hofstede | Physical Therapist | 10004 204th Ave E Ste 3100, Bonney Lake, WA 98391 | 2018-07-09 |
| 1689163396 | Julie Yang | Physical Therapist | 10004 204th Ave E Ste 3100, Bonney Lake, WA 98391-6540 | 2018-05-08 |
| 1508395443 | Katie C Mcgonigle | Physical Therapist | 10004 204th Ave E Ste 3100, Bonney Lake, WA 98391-6540 | 2017-06-05 |
| Find all providers in BONNEY LAKE | ||||
| City | BONNEY LAKE |
| Zip Code | 98391 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.