Active NPI
Erik Collins, ATC, ATR
- Athletic Trainer
- Woodbury, MN
National Provider Identifier
1912459116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2834
- Practice address
- 710 Commerce Dr
Suite 100
Woodbury, MN 55125-4919 - Phone
- (651) 968-5195
- NPI assigned
- Nov 4, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2834 | MN | Primary |
Addresses
Primary practice location
710 Commerce Dr
Suite 100
Woodbury, MN 55125-4919
Mailing address
4123 Radio Dr
Summit Orthopedics
Woodbury, MN 55129
Phone (651) 968-5195
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2834 | MN | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Orthopedics, LTD | Past | Accepting new patients | |
| Summit Orthopedics LTD | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1912459116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4123 RADIO DR",
"address_2": "SUMMIT ORTHOPEDICS",
"city": "WOODBURY",
"state": "MN",
"postal_code": "55129",
"telephone_number": "651-968-5195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 COMMERCE DR",
"address_2": "SUITE 100",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254919",
"telephone_number": "651-968-5195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "ERIK",
"credential": "ATC, ATR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-04",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "2834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.