Individual provider Active NPI

Nathaniel Blaine Collins, D.P.T.

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1043565799
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0011773 Issued in CO
Practice address
4935 N 30TH St
Colorado Springs, CO 80919-3149
Phone
(719) 266-1710
Fax
(719) 623-0041
NPI assigned
Jul 18, 2012
Last updated
Jun 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0011773 CO Primary

Addresses

Primary practice location

4935 N 30TH St
Colorado Springs, CO 80919-3149

Mailing address

311 Pyrite Ter
Colorado Springs, CO 80905-4289
Phone (785) 979-6464

Other practice location 1

1775 S 8th St
Colorado Springs, CO 80905-1926
Phone (719) 477-6870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120816000018 CO Practitioner - Physical Therapist in Private Practice 4183870637 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0011773COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 1, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 1, 2022 Accepting new patients
Strive Wellness PLLC CurrentSince Mar 5, 2023 Accepting new patients
A C Enterprises, LLC Physical Therapist CurrentSince Aug 7, 2016 Accepting new patients
Katey Blehm M.a. CCC-SLP Physical Therapist CurrentSince Nov 5, 2023 Accepting new patients
Manual Edge Physical Therapy Specialists LLC Physical Therapist CurrentSince Feb 7, 2023 Accepting new patients
Great Moves Inc Physical Therapist CurrentSince Jul 1, 2014 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 8, 2022 Accepting new patients
Total Function Physical Therapy, PC Physical Therapist PastSince Aug 5, 2015 Accepting new patients
Total Function Physical Therapy, PC Physical Therapist PastSince Aug 1, 2021 Accepting new patients

Locations

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

1775 S 8th St
Colorado Springs, CO 80905
Phone (719) 477-6870

2776 Janitell Rd
Colorado Springs, CO 80906
Phone (719) 332-4689

2776 Janitell Rd
Ofc
Colorado Springs, CO 80906
Phone (719) 332-4689

6189 Lehman Dr
Ste 202
Colorado Springs, CO 80918
Phone (719) 694-8342

6965 Tutt Blvd
Ste 100A
Colorado Springs, CO 80923
Phone (719) 332-4689

6985 Tutt Blvd
Ste 100
Colorado Springs, CO 80923
Phone (719) 332-4689

8415 Explorer Dr
Ste 150
Colorado Springs, CO 80920
Phone (719) 332-4689

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

Interoperability endpoints

  • Direct secure messaging: nathaniel.collins.1@30926.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1043565799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PYRITE TER",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809054289",
            "telephone_number": "785-979-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4935 N 30TH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193149",
            "telephone_number": "719-266-1710",
            "fax_number": "719-623-0041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809051926",
            "country_code": "US",
            "telephone_number": "719-477-6870",
            "fax_number": "719-477-1483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "NATHANIEL",
        "middle_name": "BLAINE",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0011773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.