Individual provider Active NPI

Julie Rene Collier, PT

  • Physical Therapist
  • Palatka, FL
National Provider Identifier
1114491842
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11510 Issued in FL
Practice address
203 S Moody Rd
Palatka, FL 32177-3903
Phone
(386) 329-9905
NPI assigned
Jan 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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 11510 FL Primary

Addresses

Primary practice location

203 S Moody Rd
Palatka, FL 32177-3903

Mailing address

110 Hilty LN
East Palatka, FL 32131-4004
Phone (386) 937-2450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190228002768 FL Practitioner - Physical Therapist in Private Practice 0749529105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

165 Silver LN
Ofc
St Augustine, FL 32084-3914
Phone (904) 930-4351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11510FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Healthcare LLC Physical Therapist CurrentSince Jan 25, 2019 Accepting new patients

Locations

165 Silver Ln
Ofc
Saint Augustine, FL 32084
Phone (904) 930-4351

165 Silver Ln
St Augustine, FL 32084
Phone (904) 613-7431

1093 A1A Beach Blvd
St Augustine Beach, FL 32080
Phone (904) 234-5322

Organizations & group practices 1

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": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1114491842",
    "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": "386-937-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S MOODY RD",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773903",
            "telephone_number": "386-329-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "JULIE",
        "middle_name": "RENE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "11510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.