MS. KELLIE SUZANNE MASSIE-OSBORNE (P.T.) – Specialist, NPI 1073684080

MS. KELLIE SUZANNE MASSIE-OSBORNE (P.T.) is a healthcare provider. based in Treasure island, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. FLPT16875 (FL). The NPI Number for MS. KELLIE SUZANNE MASSIE-OSBORNE (P.T.) is 1073684080

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MS. KELLIE SUZANNE MASSIE-OSBORNE (P.T.)
NPI
1073684080
Phone
(727) 360-6652
Address
133 107TH AVE
Enumeration Date
13 November 2006
Last Update Date
12 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7273844600
Graduation Year
1998 (28 years ago)
PAC ID
3870618887
Group Practice PAC ID
5294787735
Professional Enrollment ID
I20100914001386
Address ID
FL337072101ST419XXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for MS. KELLIE SUZANNE MASSIE-OSBORNE (P.T.)

  • 133, 107th Avenue, Boca Ciega, Treasure Island, Pinellas County, Florida, 33706, United States

    TREASURE ISLAND, FL 337064715

    Phone: (727) 360-6652

    Fax: (727) 363-4428

    Type: Mailing

  • 2865 BOCA CIEGA DR N

    SAINT PETERSBURG, FL 337102829

    Phone: (727) 244-1771

    Type: Mailing

  • 419 PASADENA AVE S

    SAINT PETERSBURG, FL 337072101

    Phone: (727) 384-4600

    Fax: (727) 384-4601

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100914001386IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33706)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294787735View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
-FL
-FL
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-FL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What identifier follows MS. KELLIE SUZANNE MASSIE-OSBORNE (P.T.) across health systems?
The NPI 1073684080 uniquely identifies MS. KELLIE SUZANNE MASSIE-OSBORNE (P.T.) in U.S. healthcare data.
Does the public listing show MS. KELLIE SUZANNE MASSIE-OSBORNE (P.T.) as active?
MS. KELLIE SUZANNE MASSIE-OSBORNE (P.T.)'s NPI record reflects an active status in NPPES.
What services align with MS. KELLIE SUZANNE MASSIE-OSBORNE (P.T.)'s listing?
MS. KELLIE SUZANNE MASSIE-OSBORNE (P.T.)'s public classification highlights Other Service Providers. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. KELLIE SUZANNE MASSIE-OSBORNE (P.T.)?
MS. KELLIE SUZANNE MASSIE-OSBORNE (P.T.) is associated with Treasure Island, Florida in the same public data insurers reference.
Can I export MS. KELLIE SUZANNE MASSIE-OSBORNE (P.T.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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