Individual provider Active NPI

Jillian Collins, DPT

  • Physical Therapist
  • Rochester, NY
National Provider Identifier
1578865853
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032842 Issued in NY
Practice address
1328 University Ave
Rochester, NY 14607-1622
Phone
(585) 482-5060
NPI assigned
Nov 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 032842 NY Primary

Addresses

Primary practice location

1328 University Ave
Rochester, NY 14607-1622

Mailing address

6 Fountainbleu Dr
Mendon, NY 14506-9740

Other practice location 1

1150 University Ave
Suite 3
Rochester, NY 14607-1647
Phone (585) 482-5060

Other practice location 2

1150 University Ave
Suite 3
Rochester, NY 14607-1647
Phone (585) 482-5060

Other practice location 3

590 Fishers Station Dr Ste 130
Victor, NY 14564-9744
Phone (585) 924-7207

Other identifiers 1

IdentifierTypeStateIssuer
15788658MedicaidNY

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Speech-Language Pathology, OT, and PT Consultants 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1578865853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FOUNTAINBLEU DR",
            "city": "MENDON",
            "state": "NY",
            "postal_code": "145069740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 UNIVERSITY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071622",
            "telephone_number": "585-482-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 University Ave",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146071647",
            "country_code": "US",
            "telephone_number": "585-482-5060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 University Ave",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146071647",
            "country_code": "US",
            "telephone_number": "585-482-5060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "590 Fishers Station Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Victor",
            "state": "NY",
            "postal_code": "145649744",
            "country_code": "US",
            "telephone_number": "585-924-7207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JILLIAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-19",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15788658",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.