Dylan Collins

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2109152 Issued in TX

Practice address

5610 Richmond Rd
Texarkana, TX 75503-0500

Phone

(903) 831-4081

NPI assigned

Sep 29, 2020

Last updated

Sep 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1457968844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DAWN ST",
            "city": "WAKE VILLAGE",
            "state": "TX",
            "postal_code": "755015874",
            "telephone_number": "903-826-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030500",
            "telephone_number": "903-831-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "DYLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2109152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kori Cody
• Carmen G Coe, ACNP
• Milinda Lynn Coker, NACMA
• Sharhonda Colbert, FNP-C
• Johnny M Colley, MD
• Rita D Collins, ACNP, APRN
• Collom & Carney Clinic
• Collom & Carney Clinic
• Collom & Carney Clinic
• Collom & Carney Clinic Association

• Physical Therapy Assistant in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.