Active NPI
Ashley Collazo
- Pediatric Physical Therapist
- North Richland Hills, TX
National Provider Identifier
1245580752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1219078
- Practice address
- 7001 Boulevard 26 Ste 501
North Richland Hills, TX 76180-8858 - Phone
- (972) 814-1010
- NPI assigned
- Sep 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1219078 | TX | Primary |
| Physical Therapist | 225100000X |
Addresses
Primary practice location
7001 Boulevard 26 Ste 501
North Richland Hills, TX 76180-8858
Mailing address
3540 E Cheney
Celina, TX 75009-1682
Other practice location 1
3301 Robin Trl
Melissa, TX 75454-0336
Phone (214) 973-6377
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 |
|---|---|---|---|
| 1219078 | TX | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flex Pediatrics, LLC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1245580752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3540 E CHENEY",
"city": "CELINA",
"state": "TX",
"postal_code": "750091682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 BOULEVARD 26 STE 501",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761808858",
"telephone_number": "972-814-1010"
}
],
"practiceLocations": [
{
"address_1": "3301 Robin Trl",
"address_purpose": "LOCATION",
"city": "Melissa",
"state": "TX",
"postal_code": "754540336",
"country_code": "US",
"telephone_number": "214-973-6377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLAZO",
"first_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-12",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1219078",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Richland Hills, TX
- Clinica Hispana North Richland Hills LLC
- Carolyn Jean Clontz, MS,LMFT
- Jessica Clough, LCSW
- Allison Cochran, FNP-C
- Brenda Coley, AU.D.
- Columbia North Hills Hospital Subsidiary LP
- Columbia North Hills Hospital Subsidiary LP
- Columbia North Hills Hospital Subsidiary LP
- Columbia North Hills Hospital Subsidiary LP
- Columbia North Hills Hospital Subsidiary LP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.