Individual provider Active NPI

John Bryan Collins

  • Physical Therapist
  • Hamburg, NY
National Provider Identifier
1114815339
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
054303 Issued in NY
Practice address
230 Buffalo St # a
Hamburg, NY 14075-5011
Phone
(716) 648-5211
NPI assigned
Jun 26, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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 054303 NY Primary

Addresses

Primary practice location

230 Buffalo St # a
Hamburg, NY 14075-5011

Mailing address

6690 Rollin Dr
Boston, NY 14025-9615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA, MI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250711002561 NY Practitioner - Physical Therapist in Private Practice 2062927817 Reassigns benefits to 1 organization
I20251104001611 MA Practitioner - Physical Therapist in Private Practice 2062927817 Reassigns benefits to 1 organization
I20260526002821 MI Practitioner - Physical Therapist in Private Practice 2062927817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians
Sports Physical Therapy of New York, P.C.Group PAC ID 4284531674, 83 clinicians
Ivyrehab Michigan LLCGroup PAC ID 6901165893, 156 clinicians

Practice addresses (Care Compare)

1037 Main St
Leicester, MA 01524-1313
Phone (508) 892-1335

230 Buffalo St
Hamburg, NY 14075-5011
Phone (716) 648-5211

540 Main St
Belleville, MI 48111-2650
Phone (734) 489-6440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054303NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamburg Physical Therapy, P.C. Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients
Bay State Physical Therapy of Randolph Inc CurrentSince Dec 1, 2025 Accepting new patients
Sports Physical Therapy of New York, P.C. Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients

Locations

703 Granite St
Ste 3
Braintree, MA 02184

1037 Main St
Leicester, MA 01524
Phone (508) 892-1335

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

285 Delaware Ave
Ste 116
Buffalo, NY 14202
Phone (716) 381-8214

230 Buffalo St
#A
Hamburg, NY 14075
Phone (716) 648-5211

230 Buffalo St
Hamburg, NY 14075
Phone (716) 648-5211

Organizations & group practices 6

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": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1114815339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6690 ROLLIN DR",
            "city": "BOSTON",
            "state": "NY",
            "postal_code": "140259615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BUFFALO ST # A",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755011",
            "telephone_number": "716-648-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JOHN",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.