Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mandy G Osburn, MPT

Individual provider Orthopedic Physical Therapist · NPI 1710248901

Mandy G Osburn, MPT is a Physical Therapist in Private Practice in Fayetteville, Georgia. Qualified in 2003, 23 years ago. Practices with Fox Rehabilitation Ga, LLC, a 107-clinician group. Licensed in Georgia.

Years since qualifying
23
Licensed in
GA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

1265 Highway 54 W Ste 102 & 308
Fayetteville, GA 30214-4548
Phone: (770) 460-1900
Fax: (770) 719-1214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT007788 (GA)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence PT007788 (GA)

Record details

NPI number1710248901
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorNo
NPI enumeratedJune 4, 2012
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025
Mailing address900 Circle 75 Pkwy Se, Suite 1700, Atlanta, GA 30339-3035

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Fox Rehabilitation Ga, Llc — 107 clinicians
Accepts Medicare assignment Not indicated

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