Individual provider Active NPI

Diane C Collins, PT CHT

  • Physical Therapist
  • Bluffton, SC
National Provider Identifier
1366528218
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11607 Issued in SC
Practice address
75 Baylor Dr
Bluffton, SC 29910-8965
Phone
(843) 476-4682
Fax
(843) 949-3022
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0074061 NY
Physical Therapist 225100000X 11607 SC Primary

Addresses

Primary practice location

75 Baylor Dr
Bluffton, SC 29910-8965

Mailing address

333 E 34TH St RM 1L
New York, NY 10016-4956
Phone (212) 689-2680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240826002813 SC Practitioner - Physical Therapist in Private Practice 5991758088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
57.2 of 100Reported as group
Quality
48.95
Improvement activities
20
Cost
75.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0074061NYMDSpecialist
007406NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Rehabilitation and Sports Medicine Limited Partnership Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Manhattan Rehabilitation Management LLC Specialist Current Accepting new patients
Horizon Rehabilitation and Sports Medicine Limited Partnership Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients

Locations

333 E 34th St
Ofc 1L
New York, NY 10016
Phone (212) 683-1008

326 E 34th St
Frnt A
New York, NY 10016
Phone (212) 689-2680

326 E 34th St
New York, NY 10016
Phone (212) 481-9208

75 Baylor Dr
Ste 250
Bluffton, SC 29910
Phone (843) 476-4682

8 Hospital Ctr
Ste 250
Hilton Head Island, SC 29926
Phone (843) 671-7342

1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052

Organizations & group practices 3

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1366528218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E 34TH ST RM 1L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164956",
            "telephone_number": "212-689-2680",
            "fax_number": "212-689-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BAYLOR DR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108965",
            "telephone_number": "843-476-4682",
            "fax_number": "843-949-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "DIANE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "PT CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "0074061",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.