Active NPI
Jacquelyn Heather Collins, PT, DPT
- Physical Therapist
- Chester, NJ
National Provider Identifier
1215481114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01597300
- Practice address
- 201 Pleasant Hill Rd
Chester, NJ 07930-2141 - Phone
- (201) 693-2742
- NPI assigned
- Aug 8, 2016
- Last updated
- Aug 8, 2016
- Sex
- Female
- 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 | 40QA01597300 | NJ | Primary |
Addresses
Primary practice location
201 Pleasant Hill Rd
Chester, NJ 07930-2141
Mailing address
35-02 Van Duren Ave
Fair Lawn, NJ 07410-5008
Phone (201) 693-2742
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 |
|---|---|---|---|
| 40QA01597300 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1215481114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35-02 VAN DUREN AVE",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074105008",
"telephone_number": "201-693-2742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 PLEASANT HILL RD",
"city": "CHESTER",
"state": "NJ",
"postal_code": "079302141",
"telephone_number": "201-693-2742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "JACQUELYN",
"middle_name": "HEATHER",
"name_prefix": "Ms.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-08",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01597300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.