Individual provider Active NPI

Matthew Collar, DPT

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1891189312
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 3873 Issued in AR
Practice address
10014 N Rodney Parham Rd
Suite 103
Little Rock, AR 72227-5598
Phone
(501) 224-5454
Fax
(501) 224-5460
NPI assigned
Mar 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 3873 AR Primary

Addresses

Primary practice location

10014 N Rodney Parham Rd
Suite 103
Little Rock, AR 72227-5598

Mailing address

10014 N Rodney Parham Rd
Suite 103
Little Rock, AR 72227-5598
Phone (501) 224-5454

Other identifiers 1

IdentifierTypeStateIssuer
PT3873OtherARPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150505002576 AR Practitioner - Physical Therapist in Private Practice 4688993108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aptc of Little Rock, Inc.Group PAC ID 2264519891, 14 clinicians

Practice addresses (Care Compare)

10014 N Rodney Parham Rd
Suite 103
Little Rock, AR 72227-5587
Phone (501) 224-5454

1324 Main St
Little Rock, AR 72202-5034
Phone (501) 224-5454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 3873ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aptc of Little Rock, Inc. Physical Therapist CurrentSince Apr 1, 2015 Accepting new patients
Aptc of North Little Rock, Inc Physical Therapist PastSince Aug 7, 2017 Accepting new patients

Locations

10014 N Rodney Parham Rd
Ste 103
Little Rock, AR 72227
Phone (501) 224-1303

Organizations & group practices 2

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": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1891189312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10014 N RODNEY PARHAM RD",
            "address_2": "SUITE 103",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722275598",
            "telephone_number": "501-224-5454",
            "fax_number": "501-224-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10014 N RODNEY PARHAM RD",
            "address_2": "SUITE 103",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722275598",
            "telephone_number": "501-224-5454",
            "fax_number": "501-224-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAR",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-23",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 3873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT3873",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.