Active NPI
Justin Thomas Collier, MD
- Physical Medicine & Rehabilitation Physician
- Nashville, TN
National Provider Identifier
1891900700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 43962
- Practice address
- 3443 Dickerson Pike
Suite 520
Nashville, TN 37207-2519 - Phone
- (615) 868-4600
- Fax
- (615) 868-4001
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 036.118576 | IL | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 43962 | TN | Primary |
Addresses
Primary practice location
3443 Dickerson Pike
Suite 520
Nashville, TN 37207-2519
Mailing address
3443 Dickerson Pike
Suite 520
Nashville, TN 37207-2519
Phone (615) 868-4600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1514057 | Medicaid | TN | |
| 7100092830 | Medicaid | KY |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.118576 | IL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skyline Rehab Associates LLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Organizations & group practices 1
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 Medicine & Rehabilitation Physician
- Nashville, TN
- NPI 1265537237
Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1891900700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3443 DICKERSON PIKE",
"address_2": "SUITE 520",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372072519",
"telephone_number": "615-868-4600",
"fax_number": "615-868-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 DICKERSON PIKE",
"address_2": "SUITE 520",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372072519",
"telephone_number": "615-868-4600",
"fax_number": "615-868-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "JUSTIN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "036.118576",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TN",
"license": "43962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1514057",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100092830",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.