Collin McDonell

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

43330 Issued in CA

Practice address

14809 Blue Ridge CT
Moorpark, CA 93021-5047

Phone

(805) 341-7496

NPI assigned

Dec 28, 2015

Last updated

Apr 26, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

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  NPD Authorized official

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745625600000",
    "number": "1275998783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14809 BLUE RIDGE CT",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930215047",
            "telephone_number": "805-341-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14809 BLUE RIDGE CT",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930215047",
            "telephone_number": "805-341-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONELL",
        "first_name": "COLLIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-28",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark R Winkler MD PA Professional Corporation
• Annette I. Markowitz
• Levi Martin
• Bianca Nicole Martinez, LMFT
• Roeya Mazdaei, DDS
• Medical Experts Home Health LLC
• Medical Supplies Ihp
• Medical Supplies Ihp, Inc
• Cherisse Meichtry, MS, ATC, PES
• Anthony Mendoza

• Physical Therapist in Moorpark, CA
• Providers in Moorpark, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.