Active NPI
Sabrina Collins
- Physical Therapy Assistant
- Edwardsville, IL
National Provider Identifier
1326654336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 007575
- Practice address
- 6277 Center Grove Rd
Edwardsville, IL 62025-3309 - Phone
- (618) 659-0605
- NPI assigned
- Sep 16, 2020
- Sex
- Female
- 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 Therapy Assistant | 225200000X | 007575 | IL | Primary |
Addresses
Primary practice location
6277 Center Grove Rd
Edwardsville, IL 62025-3309
Mailing address
9705 Mark TRL
Fairview Heights, IL 62208-1610
Phone (618) 570-1083
Other practice location 1
9705 Mark Trl
Fairview Heights, IL 62208-1610
Phone (618) 570-1083
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 |
|---|---|---|---|
| 007575 | IL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1326654336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9705 MARK TRL",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622081610",
"telephone_number": "618-570-1083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6277 CENTER GROVE RD",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620253309",
"telephone_number": "618-659-0605"
}
],
"practiceLocations": [
{
"address_1": "9705 Mark Trl",
"address_purpose": "LOCATION",
"city": "Fairview Heights",
"state": "IL",
"postal_code": "622081610",
"country_code": "US",
"telephone_number": "618-570-1083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINS",
"first_name": "SABRINA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-16",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "007575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edwardsville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.