Individual provider Active NPI

Arthur Jonathan Collier, PT,ATC.LAT

  • Physical Therapist
  • Orange Park, FL
National Provider Identifier
1295733749
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1960 Issued in FL
Practice address
410 Blanding Blvd
Suite 6a
Orange Park, FL 32073-5051
Phone
(904) 276-7881
Fax
(904) 276-7568
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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 PT1960 FL Primary

Addresses

Primary practice location

410 Blanding Blvd
Suite 6a
Orange Park, FL 32073-5051

Mailing address

410 Blanding Blvd
Suite 6a
Orange Park, FL 32073-5051
Phone (904) 276-7881

Other identifiers 2

IdentifierTypeStateIssuer
K1374OtherFLMEDICARE GROUP NUMBER
Y904KOtherFLBCBS PROVIDER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929000959 FL Practitioner - Physical Therapist in Private Practice 9032186226 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Associates of Orange Park, Inc CurrentSince Jan 22, 2023 Accepting new patients
Physical Therapy Associates of Orange Park, Inc Physical Therapist CurrentSince Feb 1, 2000 Accepting new patients

Locations

1845 Eastwest Pkwy
Ste 1415
Fleming Isle, FL 32003
Phone (904) 264-6301

410 Blanding Blvd
Ste 6A
Orange Park, FL 32073
Phone (904) 276-7881

151 College Dr
Ste 10
Orange Park, FL 32065
Phone (904) 264-6304

1550 Business Center Dr
Ste B
Orange Park, FL 32003
Phone (904) 264-6304

Organizations & group practices 2

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1295733749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 BLANDING BLVD",
            "address_2": "SUITE 6A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735051",
            "telephone_number": "904-276-7881",
            "fax_number": "904-276-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 BLANDING BLVD",
            "address_2": "SUITE 6A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735051",
            "telephone_number": "904-276-7881",
            "fax_number": "904-276-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "ARTHUR",
        "middle_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "PT,ATC.LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT1960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "K1374",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "Y904K",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.