Shannon Collins, PT, CMPT, RYT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20584 Issued in CA

Practice address

12401 Wilshire Blvd
Ste 105
Los Angeles, CA 90025-1015

Phone

(310) 826-4100

NPI assigned

Dec 22, 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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peak Performance Consulting, Inc

  • Orthopedic Physical Therapist
  • Santa Monica, CA
  • NPI 1780749697
  Medicare reassignment Authorized official
• Holistic Physical Therapy and Wellness, Inc

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1124559083
  NPD

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1730244633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 WILSHIRE BLVD",
            "address_2": "STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251015",
            "telephone_number": "310-826-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 WILSHIRE BLVD",
            "address_2": "STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251015",
            "telephone_number": "310-826-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SHANNON",
        "credential": "PT, CMPT, RYT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "20584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nickelle Collins
• Robert Chaplin Collins, MD
• Sarah Collins, PA
• Scheherazade Collins, LMFT
• Shane Collins
• Shawn Collins
• Shenequa Collins
• Tanya Renee Collins
• Teresa Collins, MFT
• Yolanda J Collins

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.