Individual provider Active NPI

Erika R Collins, AT, PTA

  • Physical Therapy Assistant
  • Charlevoix, MI
National Provider Identifier
1427550417
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502004747 Issued in MI
Practice address
6510 M 66 N
Charlevoix, MI 49720-9272
Phone
(231) 547-0380
Fax
(231) 547-0395
NPI assigned
Mar 6, 2018
Last updated
Mar 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502004747 MI Primary
Athletic Trainer 2255A2300X 2601000931 MI

Addresses

Primary practice location

6510 M 66 N
Charlevoix, MI 49720-9272

Mailing address

6510 M 66 N
Charlevoix, MI 49720-9272
Phone (231) 547-0380

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

LicenseStateTypeSpecialty
5502004747MIMDPhysical Therapy Assistant
2601000931MIMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Michigan Sports Medicine Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1427550417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 M 66 N",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497209272",
            "telephone_number": "231-547-0380",
            "fax_number": "231-547-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 M 66 N",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497209272",
            "telephone_number": "231-547-0380",
            "fax_number": "231-547-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ERIKA",
        "middle_name": "R",
        "credential": "AT, PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502004747",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601000931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlevoix, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.