Active NPI
Carl Keith Collier, PT
- Physical Therapist
- East Palatka, FL
National Provider Identifier
1043322209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT11502
- Practice address
- 110 Hilty LN
East Palatka, FL 32131-4004 - Phone
- (386) 328-5542
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT11502 | FL | Primary |
Addresses
Primary practice location
110 Hilty LN
East Palatka, FL 32131-4004
Mailing address
110 Hilty LN
East Palatka, FL 32131-4004
Phone (386) 328-5542
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT11502 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043322209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 HILTY LN",
"city": "EAST PALATKA",
"state": "FL",
"postal_code": "321314004",
"telephone_number": "386-328-5542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 HILTY LN",
"city": "EAST PALATKA",
"state": "FL",
"postal_code": "321314004",
"telephone_number": "386-328-5542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "CARL",
"middle_name": "KEITH",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT11502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Palatka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.