Active NPI
William Travis Collins, DPT
- Geriatric Physical Therapist
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 10026
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Greenville |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10026 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powerback Rehabilitation LLC | Current | Accepting new patients | |
| Powerback Rehabilitation LLC | Current | Accepting new patients | |
| Visitry Florida LLC | Geriatrics | Current | 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.
-
dba Powerback Rehabilitation
- Physical Therapist
- Vero Beach, FL
- NPI 1710789565
-
dba Powerback Rehabilitation
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
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.