Active NPI
Emily Jeanne Collins, PT
- Physical Therapist
- Bella Vista, AR
National Provider Identifier
1831630508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4065
- Practice address
- 9 Cunningham Cor
Bella Vista, AR 72714-3520 - Phone
- (479) 855-6814
- Fax
- (479) 855-6828
- NPI assigned
- Mar 15, 2017
- Last updated
- Mar 15, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT4065 | AR | Primary |
Addresses
Primary practice location
9 Cunningham Cor
Bella Vista, AR 72714-3520
Mailing address
1350 S Gutensohn
Ste 10
Springdale, AR 72762-5117
Phone (479) 751-7122
Other names 1
- Miss Emily Jeanne Noble
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4065 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1831630508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 S GUTENSOHN",
"address_2": "STE 10",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727625117",
"telephone_number": "479-751-7122",
"fax_number": "479-751-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 CUNNINGHAM COR",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727143520",
"telephone_number": "479-855-6814",
"fax_number": "479-855-6828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "EMILY",
"middle_name": "JEANNE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-15",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT4065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "NOBLE",
"middle_name": "JEANNE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bella Vista, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.