Individual provider Active NPI

John David Collantes, PTA

  • Physical Therapy Assistant
  • Dallas, TX
National Provider Identifier
1013872852
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2188131 Issued in TX
Practice address
18081 Midway Rd Apt 2627
Dallas, TX 75287-6568
Phone
(561) 291-9608
NPI assigned
Dec 23, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2188131 TX Primary

Addresses

Primary practice location

18081 Midway Rd Apt 2627
Dallas, TX 75287-6568

Mailing address

18081 Midway Rd Apt 2627
Dallas, TX 75287-6568
Phone (561) 291-9608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2188131TXMDPhysical Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1013872852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18081 MIDWAY RD APT 2627",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876568",
            "telephone_number": "561-291-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18081 MIDWAY RD APT 2627",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876568",
            "telephone_number": "561-291-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLANTES",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2188131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.