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Robert Kenneth Osberry , PT

Physician β€’ Northport, AL

Deactivated NPI 1073676763 Deactivated in NPPES Male Practitioner
Practice location in NPPES

3630 Northbrook Dr, Suite B
Northport, AL 354735822

Phone: 2053301001

Location details and other listings
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This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of August 24, 2021; the reason is not published. The records below are historical. They do not show whether Robert Osberry currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date December 18, 2006
NPI Deactivation Date August 24, 2021
NPI Active Period 2006 – 2021

Practice Location & Contact Primary Location

Practice Address

3630 Northbrook Dr
Suite B

Northport, AL 354735822

Telephone 2053301001
Organization at the Same NPPES Address or Phone
Appleton Senior Care, Inc Facility NPI 1861795890

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Northport and Alabama

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Home Health Primary Specialty

NUCC Taxonomy Code: 251E00000X

License # reported to NPPES AL 21583

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alabama State Board of Medical Examiners.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1013071745

Physical Therapist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated August 24, 2021

NPPES lists this NPI as deactivated as of August 24, 2021; the reason is not published.

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 3630 NORTHBROOK DR, SUITE B, NORTHPORT, AL 354735822 (Tel: 2053301001)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 4429 DRAPER DR, NORTHPORT, AL 354735213 (Tel: 2057581299)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as ROBERT OSBERRY, P.T.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Home Health (license number reported to NPPES: AL 21583)

🟒
Initial NPI Registration & Enumeration December 18, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073676763
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2006
Last Update: July 08, 2007
Deactivation Date: August 24, 2021

Mailing Address

4429 Draper Dr

Northport, AL 354735213

Phone: 2057581299

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.