Individual provider Active NPI

William Henry Collins Jr., P.T.

  • Physical Therapist
  • Murrieta, CA
National Provider Identifier
1750428215
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 16018 Issued in CA
Practice address
40675 California Oaks Rd
Unit D
Murrieta, CA 92562-5790
Phone
(951) 704-4040
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 16018 CA Primary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 16018 CA

Addresses

Primary practice location

40675 California Oaks Rd
Unit D
Murrieta, CA 92562-5790

Mailing address

40482 Clybourne Cir
Murrieta, CA 92562-4753
Phone (951) 704-4040

Other identifiers 1

IdentifierTypeStateIssuer
PT 16018OtherCAPHYSICAL THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525001614 CA Practitioner - Physical Therapist in Private Practice 7517948615 Practice locations: Murrieta, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40675 California Oaks Rd
Suite D
Murrieta, CA 92562-5790
Phone (951) 677-7393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16018CAMDPeriodontist
PT 16018CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
William H. Collins Jr CurrentSince Dec 17, 2007 Accepting new patients

Locations

40675 California Oaks Rd
Ste D
Murrieta, CA 92562
Phone (951) 677-7393

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1750428215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40482 CLYBOURNE CIR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624753",
            "telephone_number": "951-704-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40675 CALIFORNIA OAKS RD",
            "address_2": "UNIT D",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625790",
            "telephone_number": "951-704-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "WILLIAM",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 16018",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "16018",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT 16018",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.