Individual provider Active NPI

Jordan Collins, DPT

  • Orthopedic Physical Therapist
  • Vineyard, UT
National Provider Identifier
1205606142
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
13699113-2401 Issued in UT
Practice address
691 E 400 N Ste 210
Vineyard, UT 84059-7510
Phone
(801) 766-4244
NPI assigned
Jan 2, 2024
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 13699113-2401 UT Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240214002546 UT Practitioner - Physical Therapist in Private Practice 0042654337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 PLLCGroup PAC ID 0042228512, 31 clinicians

Practice addresses (Care Compare)

691 E 400
Suite 210
Vineyard, UT 84059-7510
Phone 8017664244601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13699113-2401UTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dry Creek Physical Therapy & Wellness PLLC Orthopedic CurrentSince Dec 31, 2023 Accepting new patients
Jensen Therapy Associates, Inc. PastSince Dec 31, 2023 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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1205606142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3647 W 2280 N UNIT 301",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434366",
            "telephone_number": "530-353-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 E 400 N STE 210",
            "city": "VINEYARD",
            "state": "UT",
            "postal_code": "840597510",
            "telephone_number": "801-766-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JORDAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "13699113-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineyard, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.