Brenda M Collins, DPT
Individual provider Active NPI Pediatric Physical Therapist · Summerfield, FL
NPI 1083760037 · NPPES record last updated Nov 3, 2020
Key facts
- NPI
- 1083760037
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- PT30120 (FL)
- Practice address
- 16280 SE 88TH Ave
Summerfield, FL 34491-7037 - Phone
- (631) 806-1422
- Fax
- (352) 693-2102
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT30120 | FL | MD | Pediatric Physical Therapist |
| 012846-1 | NY | MD | Pediatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | PT30120 | FL | |
| Pediatric Physical Therapist | 2251P0200X | 012846-1 | NY | |
| Pediatric Physical Therapist | 2251P0200X | PT30120 | FL | Yes |
Addresses
Primary practice location
16280 SE 88TH Ave
Summerfield, FL 34491-7037
Mailing address
16280 SE 88TH Ave
Summerfield, FL 34491-7037
Phone (631) 806-1422
Other providers in Summerfield, FL
- Shahbaz Ali Cheema
- Michael D Chesner
- Randy W Clark
- Kaylee Claycomb
- Kathy Clevinger-Magin
- Comfort Care Medical Equipment & Uniforms, Inc
- Comfortable Care Dental Health Professionals, P.a.
- Alba R Cordero Sanz
- Cosmet Enterprise LLC
- Crown Medical Solutions, LLC
All providers in Summerfield, FL · Pediatric Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.