Gary Lee Collins II II, PT

Primary specialty

ContractorTaxonomy code 171W00000X

License

1067361 Issued in TX

Practice address

1290 S Willis St
Suite 210
Abilene, TX 79605-4068

Phone

(325) 518-7066

Fax

(325) 232-8629

NPI assigned

Apr 9, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Collins Physical Therapy PLLC

  • Multi-Specialty Clinic/Center
  • Abilene, TX
  • NPI 1154063105
  NPD

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1962845974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 CLARKS DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796023144",
            "telephone_number": "325-677-1564",
            "fax_number": "325-232-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 S WILLIS ST",
            "address_2": "SUITE 210",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054068",
            "telephone_number": "325-518-7066",
            "fax_number": "325-232-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS II",
        "first_name": "GARY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "1067361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John F Cole, D.O.
• Theron Winstead Cole, LCSW
• Troy Coleman, RBT
• Kelsey Collard, PHARMD
• Destiny Collier
• Collins Physical Therapy PLLC
• Ashley Mae Collins, FNP
• Madisen Marcia-Ann Collins, PA-C
• Terri Collins
• Tammy Meshell Colmery, HIS

• Contractor in Abilene, TX
• Providers in Abilene, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.