Active NPI
Vanessa Collazo
- Physical Therapy Assistant
- Lexington, SC
National Provider Identifier
1619820172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 6295
- Practice address
- 5443 Platt Springs Rd Ste D
Lexington, SC 29073-6203 - Phone
- (803) 774-1333
- NPI assigned
- Feb 16, 2026
- 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 | 6295 | SC | Primary |
Addresses
Primary practice location
5443 Platt Springs Rd Ste D
Lexington, SC 29073-6203
Mailing address
120 Monterey Dr
West Columbia, SC 29170-2884
Phone (904) 563-5520
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 |
|---|---|---|---|
| 6295 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1619820172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MONTEREY DR",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291702884",
"telephone_number": "904-563-5520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5443 PLATT SPRINGS RD STE D",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290736203",
"telephone_number": "803-774-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLAZO",
"first_name": "VANESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-16",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "6295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.