Collin K Bywaters, D.P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

367748-2401 Issued in UT

Practice address

1291 S 1100 E Ste 202
Salt Lake City, UT 84105-1826

Phone

(801) 712-4996

NPI assigned

Jul 10, 2009

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581724800000",
    "number": "1760611891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 S 1100 E STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051826",
            "telephone_number": "801-712-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 S 1100 E STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051826",
            "telephone_number": "801-712-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYWATERS",
        "first_name": "COLLIN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2020-02-15",
        "certification_date": "2020-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "367748-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert William Byrne, PT, DPT, ATC/LAT
• Rory A. Byrne, MD
• Stephanie N Byrne, PHARMD
• McKenzie L Byron
• Marin C Bywater, LCSW
• C. Haydee Mas, PH.D., PC
• C3 Physical Therapy and Health & Wellness Services
• Hayley Victoria Cabacar
• Autumn Grace Cabaniss, LPN
• Anne Laurice Semilla Cabrera, MS, PHD

• Orthopedic Physical Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Orthopedic Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.