Gina Renee Collins, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27129 Issued in CA

Practice address

3200 E Los Angeles Ave
Suite 20
Simi Valley, CA 93065-3972

Phone

(805) 581-4266

Fax

(805) 581-5049

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy 180 LLCGroup PAC ID 9830422955, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Physical Therapy 180 LLC

  • Physical Therapist
  • Boise, ID
  • NPI 1669696910
  Medicare reassignment Care Compare group NPD
• Divine Health Provider Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Simi Valley, CA
  • NPI 1386899763
  NPD (past)
• Peregrine Physical Therapy LLC

  • Physical Therapist
  • Boise, ID
  • NPI 1942128137
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1871678037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E LOS ANGELES AVE STE 20",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653971",
            "telephone_number": "805-581-4266",
            "fax_number": "805-581-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 E LOS ANGELES AVE",
            "address_2": "SUITE 20",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653972",
            "telephone_number": "805-581-4266",
            "fax_number": "805-581-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "GINA",
        "middle_name": "RENEE",
        "credential": "M.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID",
            "identifier": "OPT271290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannen Cohenshad, OTR/L
• Jessica Leanne Colbert
• Brian Robert Cole, PHARMD
• Alison Elizabeth Collier, FNP
• Christine L. Collins, RN
• Joseph Collins, LMFT 138560
• Luv Collins, P.T.A.
• Jeanne M Colon
• Michael Timothy Colton, M.A.,LMFT
• Kevin Richard Colwell, M.D.

• Physical Therapist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.