Active NPI
Kanika Jones, LPTA
- Physical Therapy Assistant
- Troy, MI
National Provider Identifier
1336910736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5502000595
- Practice address
- 210 Town Center Dr
Troy, MI 48084-1774 - Phone
- (810) 280-3463
- NPI assigned
- Jan 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 5502000595 | MI | Primary |
Addresses
Primary practice location
210 Town Center Dr
Troy, MI 48084-1774
Mailing address
24541 Rensselaer St
Oak Park, MI 48237-1784
Phone (810) 280-3463
Other names 1
- Kanika Collins
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 |
|---|---|---|---|
| 5502000595 | MI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1336910736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24541 RENSSELAER ST",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482371784",
"telephone_number": "810-280-3463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 TOWN CENTER DR",
"city": "TROY",
"state": "MI",
"postal_code": "480841774",
"telephone_number": "810-280-3463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KANIKA",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "5502000595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KANIKA",
"last_name": "COLLINS",
"credential": "LPTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.