Active NPI
Michael Edward Collins III, DPT
- Physical Therapist
- Silver Spring, MD
National Provider Identifier
1306045067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19569
- Practice address
- 12420 Kuhl Rd
Silver Spring, MD 20902-1460 - Phone
- (301) 949-3746
- NPI assigned
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 19569 | MD | Primary |
Addresses
Primary practice location
12420 Kuhl Rd
Silver Spring, MD 20902-1460
Mailing address
12420 Kuhl Rd
Silver Spring, MD 20902-1460
Phone (301) 949-3746
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 |
|---|---|---|---|
| 19569 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1306045067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12420 KUHL RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209021460",
"telephone_number": "301-949-3746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12420 KUHL RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209021460",
"telephone_number": "301-949-3746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "19569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.