Robert Collewijn, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28918 Issued in FL

Practice address

305 N Fort Harrison Ave
Clearwater, FL 33755-3923

Phone

(727) 223-9902

Fax

(727) 223-9902

NPI assigned

May 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Grand Rapids Pain Free Clinic Inc

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1265771448
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1174735831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 FREEDOM DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337551294",
            "telephone_number": "727-223-9902",
            "fax_number": "727-223-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N FORT HARRISON AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337553923",
            "telephone_number": "727-223-9902",
            "fax_number": "727-223-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLEWIJN",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Coll, CRNA
• Frances Collado, CRNA
• Laura Collazo Lopez, BCBA
• Colleen Niedzwiecki, MD, PA
• Dennis L College, M.D.
• Colliers at Countryside Opco, LLC
• Abbey Swan Collins
• Eddie Lee Collins Jr., LMHC
• Jennifer S Collins, PA
• Melissa A Collins

• Physical Therapist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.