Individual provider Active NPI

William Travis Collins, DPT

  • Geriatric Physical Therapist
  • Greenville, SC
National Provider Identifier
1093320400
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
10026 Issued in SC
Practice address
2 Griffith Rd
Greenville, SC 29607-3503
Phone
(864) 990-1918
NPI assigned
Sep 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 10026 SC Primary

Addresses

Primary practice location

2 Griffith Rd
Greenville, SC 29607-3503

Mailing address

PO Box 1366
Drayton, SC 29333-0802
Phone (351) 552-0065

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Greenville

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220617000495 FL Practitioner - Physical Therapist in Private Practice 0547670184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Florida College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

Practice addresses (Care Compare)

10780 N US Hwy 301
Oxford, FL 34484-3505
Phone 3523303900658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10026SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC CurrentSince Jul 1, 2025 Accepting new patients
Powerback Rehabilitation LLC CurrentSince Jul 1, 2025 Accepting new patients
Visitry Florida LLC Geriatrics CurrentSince Aug 1, 2024 Accepting new patients

Locations

802 E Whiting St
Tampa, FL 33602
Phone (716) 523-1783

910 Regency Sq
Vero Beach, FL 32967
Phone (772) 213-0423

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1093320400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1366",
            "city": "DRAYTON",
            "state": "SC",
            "postal_code": "293330802",
            "telephone_number": "351-552-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GRIFFITH RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073503",
            "telephone_number": "864-990-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "WILLIAM",
        "middle_name": "TRAVIS",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "SC",
            "license": "10026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Greenville",
            "affiliation": "N",
            "address_1": "2 Griffith Rd",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296073503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.