Individual provider Active NPI

John Howard Collier, P.T.

  • Physical Therapist
  • Centennial, CO
National Provider Identifier
1124190236
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1840 Issued in CO
Practice address
7120 E Orchard Rd Ste 110
Centennial, CO 80111-1732
Phone
(303) 850-7717
Fax
(303) 850-7517
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1840 CO Primary

Addresses

Primary practice location

7120 E Orchard Rd Ste 110
Centennial, CO 80111-1732

Mailing address

7120 E Orchard Rd Ste 110
Centennial, CO 80111-1732
Phone (303) 850-7717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041105000915 CO Practitioner - Physical Therapist in Private Practice 6406840602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Valley Physical Therapy, PCGroup PAC ID 2365331865, 9 clinicians

Practice addresses (Care Compare)

495 Uinta Way
Suite 100
Denver, CO 80230-7198
Phone (303) 861-0057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1840COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
South Valley Physical Therapy PC CurrentSince Feb 1, 2003 Accepting new patients

Locations

1750 N Humboldt St
Ste 101
Denver, CO 80218
Phone (303) 861-0057

495 Uinta Way
Ste 100
Denver, CO 80230
Phone (303) 861-0057

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124190236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 E ORCHARD RD STE 110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801111732",
            "telephone_number": "303-850-7717",
            "fax_number": "303-850-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 E ORCHARD RD STE 110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801111732",
            "telephone_number": "303-850-7717",
            "fax_number": "303-850-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "JOHN",
        "middle_name": "HOWARD",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "1840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.