Active NPI
Jacob Collier, PTA
- Physical Therapy Assistant
- Apollo Beach, FL
National Provider Identifier
1134482201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA22743
- Practice address
- 6814 Guilford Bridge Dr
Apollo Beach, FL 33572-1725 - Phone
- (813) 731-7555
- NPI assigned
- Jun 22, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA22743 | FL | Primary |
Addresses
Primary practice location
6814 Guilford Bridge Dr
Apollo Beach, FL 33572-1725
Mailing address
6814 Guilford Bridge Dr
Apollo Beach, FL 33572-1725
Phone (813) 731-7555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA22743 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1134482201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6814 GUILFORD BRIDGE DR",
"city": "APOLLO BEACH",
"state": "FL",
"postal_code": "335721725",
"telephone_number": "813-731-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6814 GUILFORD BRIDGE DR",
"city": "APOLLO BEACH",
"state": "FL",
"postal_code": "335721725",
"telephone_number": "813-731-7555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "JACOB",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-22",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA22743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apollo Beach, FL
- Coastal Primary Care and Wellness LLC
- Coastal Senior Living Facility LLC
- Brooke Elizabeth Cockson, MS, RDN, LDN
- Christi Colbert
- Carolyne P Cole, LMFT
- Sharon Ann Collier, D.D.S.
- Bibi Coluccio, LMT
- Comfortable Care Dental Health Professionals, P.a.
- Comfortable Care Dental Health Professionals, P.a.
- Comprehensive Concierge Medical Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.