Spencer Thomas Collins, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2013038749 Issued in MO

Practice address

15425 Manchester Rd Ste 28
Ballwin, MO 63011-3077

Phone

(636) 220-6969

NPI assigned

Aug 7, 2023

Sex

Male

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

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1821770900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 SAINT LOUIS RD APT C",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651014477",
            "telephone_number": "314-798-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15425 MANCHESTER RD STE 28",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113077",
            "telephone_number": "636-220-6969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5330 NE Prescott St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972182158",
            "country_code": "US",
            "telephone_number": "503-288-6585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3645 Cook Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631133801",
            "country_code": "US",
            "telephone_number": "314-798-3662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SPENCER",
        "middle_name": "THOMAS",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-07",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2013038749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Elizabeth Claus, MS ATC CSCS
• Claycie Gerlt LLC
• Kelly Cleary, MA CCC-SLP
• Matthew P. Cline, DDS
• Anne Cochran, PT
• William G Collins, PH.D.
• Sarah Edwards Colwick, M.D.
• Community Care Centers, Inc.
• Community in-Home Services
• Laurie Conlon, RN

• Physical Therapy Assistant in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.