Active NPI
Edward Nathan Collier, PT
- Physical Therapist
- Orange Park, FL
National Provider Identifier
1184698490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6605
- Practice address
- 1550 Business Center Dr
Suite B
Orange Park, FL 32003-7450 - Phone
- (904) 264-6304
- NPI assigned
- Feb 14, 2006
- 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 Therapist | 225100000X | PT6605 | FL | Primary |
Addresses
Primary practice location
1550 Business Center Dr
Suite B
Orange Park, FL 32003-7450
Mailing address
2130 Salt Myrtle LN
Orange Park, FL 32003-7074
Phone (904) 264-6304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y904L | Other | FL | BCBS PROVIDER NUMBER |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1184698490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 SALT MYRTLE LN",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320037074",
"telephone_number": "904-264-6304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 BUSINESS CENTER DR",
"address_2": "SUITE B",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320037450",
"telephone_number": "904-264-6304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "EDWARD",
"middle_name": "NATHAN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT6605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "Y904L",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
- Madeline Skye Coleman, DO
- Zaniaya Coleman
- Diana Collette, APRN
- Angela Sue Collier, M.D.
- Arthur Jonathan Collier, PT,ATC.LAT
- Erin Hopper Collins, PHARMD
- Sor Ortiz Colon, MA, PH. D., LPC,
- Comfortable Care Dental Health Professionals, PA
- Comfortable Care Dental Health Professionals. P.a.
- Community Mental Health Services Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.