Active NPI
Alyssia Jayd Collins, PTA
- Physical Therapy Assistant
- Marion, IN
National Provider Identifier
1609001957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 06003245A
- Practice address
- 1800 N Wabash Rd Ste 200
Marion, IN 46952-1300 - Phone
- (765) 651-3229
- Fax
- (765) 651-3227
- NPI assigned
- May 15, 2009
- Sex
- Female
- 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 Therapy Assistant | 225200000X | 06003245A | IN | Primary |
Addresses
Primary practice location
1800 N Wabash Rd Ste 200
Marion, IN 46952-1300
Mailing address
1800 N Wabash Rd Ste 200
Marion, IN 46952-1300
Phone (765) 651-3229
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 |
|---|---|---|---|
| 06003245A | IN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Health Solutions | 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.
-
- Nursing Facility/Intermediate Care Facility
- Marion, IN
- NPI 1093979676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242345600000",
"number": "1609001957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 N WABASH RD STE 200",
"city": "MARION",
"state": "IN",
"postal_code": "469521300",
"telephone_number": "765-651-3229",
"fax_number": "765-651-3227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 N WABASH RD STE 200",
"city": "MARION",
"state": "IN",
"postal_code": "469521300",
"telephone_number": "765-651-3229",
"fax_number": "765-651-3227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "ALYSSIA",
"middle_name": "JAYD",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-15",
"last_updated": "2009-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06003245A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.