Patricia A. Collins, D.C., D.A.B.C.O.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

909 Issued in CT

Practice address

4444 Main St
Bridgeport, CT 06606-1820

Phone

(203) 374-4393

Fax

(203) 371-8584

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Chiropractic Associates of Bridgeport

  • Chiropractor
  • Bridgeport, CT
  • NPI 1033162698
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1689627929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061820",
            "telephone_number": "203-374-4393",
            "fax_number": "203-371-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061820",
            "telephone_number": "203-374-4393",
            "fax_number": "203-371-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "PATRICIA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C., D.A.B.C.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CT",
            "license": "909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004136182",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Steven Colen, PHD
• Dawn Kathleen Colica, LCSW
• Collaboration Healthcare Corp
• Tanya Maria Collazo
• Collins Pharmacy Inc
• Racquel Collins
• Tara L. Collins, PT,CSCS
• Colon Andrectal Surgeons of Fairfield County, LLC
• Natalie Colon, RN
• Columbia Mental Health LLC

• Orthopedic Chiropractor in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Orthopedic Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.