Active NPI
Andrea Rose Collins
- Massage Therapist
- Folsom, CA
National Provider Identifier
1487299244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 36348
- Practice address
- 9477 Greenback LN Ste 520
Folsom, CA 95630-2087 - Phone
- (916) 985-9686
- NPI assigned
- Nov 15, 2019
- Last updated
- Nov 15, 2019
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 36348 | CA | Primary |
Addresses
Primary practice location
9477 Greenback LN Ste 520
Folsom, CA 95630-2087
Mailing address
121 Kennar Way
Folsom, CA 95630-8070
Phone (916) 969-2847
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 |
|---|---|---|---|
| 36348 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geoff Allen Chiropractic Inc | 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": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573776000000",
"number": "1487299244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 KENNAR WAY",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956308070",
"telephone_number": "916-969-2847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9477 GREENBACK LN STE 520",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956302087",
"telephone_number": "916-985-9686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "ANDREA",
"middle_name": "ROSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-15",
"last_updated": "2019-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "36348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.