MS. KELLIE SUZANNE MASSIE-OSBORNE P.T.
NPI 1073684080
Specialist in Saint Petersburg, FL

NPI Status: Active since November 13, 2006

Contact Information

419 PASADENA AVE S
SAINT PETERSBURG, FL
ZIP 33707
Phone: (727) 384-4600
Fax: (727) 384-4601

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  • Individual
  • Female
  • Years of Experience 28
  • Specialist
  • Accepts Medicare Approved Payment

About KELLIE MASSIE-OSBORNE

This page provides the complete NPI Profile along with additional information for Kellie Massie-osborne, a provider established in Saint Petersburg, Florida with a medical specialization in Specialist and more than 28 years of experience. The healthcare provider is registered in the NPI registry with number 1073684080 assigned on November 2006. The practitioner's primary taxonomy code is 174400000X with license number FLPT16875 (FL). The provider is registered as an individual and her NPI record was last updated April 2026.

NPI
1073684080
Provider Name
MS. KELLIE SUZANNE MASSIE-OSBORNE P.T.
Gender
Female
Entity Type
Individual
Location Address
419 PASADENA AVE S SAINT PETERSBURG, FL 33707
Location Phone
(727) 384-4600
Location Fax
(727) 384-4601
Mailing Address
2865 BOCA CIEGA DR N SAINT PETERSBURG, FL 33710
Mailing Phone
(727) 244-1771
Medical School Name
OTHER
Graduation Year
1998
Is Sole Proprietor?
No
Enumeration Date
11-13-2006
Last Update Date
04-12-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
FLPT16875
License State
FL
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Medicare Participation & PECOS Enrollment Status

Kellie Massie-osborne is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 3870618887

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20100914001386

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073684080, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 2 + 8 + 8 + 0 + 1 + 6 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1073684080.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Specialist
419 PASADENA AVE S
ST PETERSBURG, FL 33707
Specialist
419 PASADENA AVE S
SAINT PETERSBURG, FL 33707

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073684080, enumerated as an "individual" on November 13, 2006.

The provider is located at 419 PASADENA AVE S SAINT PETERSBURG, FL 33707 and the phone number is (727) 384-4600.

Specialist with taxonomy code 174400000X.