Active NPI
Timothy Collins, PT, DPT, CSCS
- Physical Therapist
- Newnan, GA
National Provider Identifier
1548790769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012868
- Practice address
- 1755 Ga-34
Suite 1300, Rehab Department
Newnan, GA 30265 - Phone
- (770) 254-7850
- NPI assigned
- Jun 20, 2017
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | PT012868 | GA | Primary |
Addresses
Primary practice location
1755 Ga-34
Suite 1300, Rehab Department
Newnan, GA 30265
Mailing address
3 Palladio Way
Newnan, GA 30263-6976
Phone (404) 805-9147
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497916800000",
"number": "1548790769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PALLADIO WAY",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302636976",
"telephone_number": "404-805-9147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 GA-34",
"address_2": "SUITE 1300, REHAB DEPARTMENT",
"city": "NEWNAN",
"state": "GA",
"postal_code": "30265",
"telephone_number": "770-254-7850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-20",
"last_updated": "2017-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.