Jordan Collins, DPT
Individual provider Active NPI Orthopedic Physical Therapist · Vineyard, UT
NPI 1205606142 · NPPES record last updated Jan 2, 2024
Key facts
- NPI
- 1205606142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 13699113-2401 (UT)
- Practice address
- 691 E 400 N Ste 210
Vineyard, UT 84059-7510 - Phone
- (801) 766-4244
- NPI assigned
- Jan 2, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dry Creek Physical Therapy and Wellness PLLC
Practice addresses (Care Compare)
691 E 400
Suite 210
Vineyard, UT 84059-7510
Phone 8017664244601
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240214002546 | UT | Practitioner - Physical Therapist in Private Practice | 0042654337 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13699113-2401 | UT | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dry Creek Physical Therapy & Wellness PLLC | Orthopedic | Current |
Accepting new patients |
| Jensen Therapy Associates, Inc. | Past |
Accepting new patients |
Locations
3300 N Running Creek Way
Ste B150
Lehi, UT 84043
Phone (801) 766-4244
691 E 400 N
Ste 210
Vineyard, UT 84059
Phone (801) 766-4244
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 13699113-2401 | UT | Yes |
Addresses
Primary practice location
691 E 400 N Ste 210
Vineyard, UT 84059-7510
Mailing address
3647 W 2280 N Unit 301
Lehi, UT 84043-4366
Phone (530) 353-8311
Other providers in Vineyard, UT
- Blackbloom LLC
- Bonsai Therapy LLC
- Matias A Calquin
- Amanda Graves Cannon
- Lia Ana Chebeleu
- Devyn Arlie Darrohn
- Heeju Davis
- Rebecca Davis
- Craig M. Doxey
- Jennifer Lyn Duckett
All providers in Vineyard, UT · Orthopedic Physical Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.