Individual provider Active NPI

Zachary Robert Colls, PT, DPT, CSCS, USA-W

  • Physical Therapist
  • Miami Lakes, FL
National Provider Identifier
1255986519
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
34929 Issued in FL
Practice address
16200 NW 59TH Ave Ste 107
Miami Lakes, FL 33014-7541
Phone
(757) 262-8902
NPI assigned
Aug 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 34929 FL Primary

Addresses

Primary practice location

16200 NW 59TH Ave Ste 107
Miami Lakes, FL 33014-7541

Mailing address

16200 NW 59TH Ave Ste 107
Miami Lakes, FL 33014-7541
Phone (757) 262-8902

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531003692 FL Practitioner - Physical Therapist in Private Practice 3375900822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Miami, LM Miller School of Medicine, 2019
Medicare assignment
May accept Medicare assignment
Group practices
USA Sports Medicine Miami Lakes LLCGroup PAC ID 2466819917, 2 clinicians

Practice addresses (Care Compare)

16200 NW 59TH Ave
Suite 107
Miami Lakes, FL 33014-7541
Phone (305) 735-3513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34929FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
USA Sports Medicine Miami Lakes LLC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients

Locations

16200 NW 59th Ave
Ste 107
Miami Lakes, FL 33014
Phone (305) 479-2973

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": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1255986519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 NW 59TH AVE STE 107",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330147541",
            "telephone_number": "757-262-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 NW 59TH AVE STE 107",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330147541",
            "telephone_number": "757-262-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLS",
        "first_name": "ZACHARY",
        "middle_name": "ROBERT",
        "credential": "PT, DPT, CSCS, USA-W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "34929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.