Connie McCollow, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-001219 Issued in AZ

Practice address

9190 N. Coachline Blvd
Suite 100
Tucson, AZ 85743

Phone

(520) 308-4878

Fax

(520) 308-4874

NPI assigned

Dec 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1932186087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9190 N. COACHLINE BLVD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85743",
            "telephone_number": "520-308-4878",
            "fax_number": "520-308-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9190 N. COACHLINE BLVD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85743",
            "telephone_number": "520-308-4878",
            "fax_number": "520-308-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLOW",
        "first_name": "CONNIE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "AZ1219",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-001219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John W. McClure, LPC
• Miranda McCluskey
• Ann Zerella McColgin, M.D.
• Kenneth E. 'Mac' McColley, RPH
• Autumn Marie McCollough, BA
• Jerry J. McCollow, P.T.
• Nicole Louise McCollum, LCSW
• Patricia Louise McComb, LCSW
• Mairead H McConnell, PHD
• Matthew J McConnell, FNP

• Physical Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.