Teryn Anthony Collins

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

304450 Issued in CA

Practice address

4195 N Viking Way Ste F&G
Long Beach, CA 90808-1466

Phone

(562) 420-2112

Fax

(818) 241-6853

NPI assigned

Nov 21, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Coast Physical Therapy, Inc.Group PAC ID 0941279335, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Coast Physical Therapy Inc

  • Physical Therapist
  • Oceanside, CA
  • NPI 1689738627
  Medicare reassignment Care Compare group NPD
• Sohma Integrative Health Center Hoover Chiropractic Inc

  • Chiropractor
  • Long Beach, CA
  • NPI 1376941146
  NPD
• Woo-Ming Medical Group, PC

  • General Practice Physician
  • Long Beach, CA
  • NPI 1205475738
  NPD

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1124597901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4195 N VIKING WAY STE F&G",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081466",
            "telephone_number": "562-420-2112",
            "fax_number": "818-241-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 N VIKING WAY STE F&G",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081466",
            "telephone_number": "562-420-2112",
            "fax_number": "818-241-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "TERYN",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-21",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Collins, LVN
• Lisa Michelle Collins, LVN
• Meghan Kennedy Collins
• Sarina Collins
• Stefani Collins
• Kimberly Collis
• Romarie Alexandra Colon Leon
• Ashanti S Colon
• Jasmine Garnet Colon
• Stephanie Marie Colon

• Physical Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.