Individual provider Active NPI

Ashley Collazo

  • Pediatric Physical Therapist
  • North Richland Hills, TX
National Provider Identifier
1245580752
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
1219078 Issued in TX
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

Updated by the provider on May 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
1219078TXMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Flex Pediatrics, LLC Multi-Specialty PastSince Apr 23, 2023 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

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.

Verify at the official NPI Registry.