Michael Wade Collins PT Inc

Primary specialty

Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X

License

PT2750 Issued in AR

Legal business name

MICHAEL WADE COLLINS PT INC

Practice address

1250 State St
Apt 3302
Richardson, TX 75082-2033

Phone

(318) 680-5500

Fax

(501) 325-2577

NPI assigned

Aug 25, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Michael Wade Collins, PT

Title

President

Phone

(318) 680-5500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1992250427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 STATE ST",
            "address_2": "APT 3302",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822033",
            "telephone_number": "318-680-5500",
            "fax_number": "501-325-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 STATE ST",
            "address_2": "APT 3302",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822033",
            "telephone_number": "318-680-5500",
            "fax_number": "501-325-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL WADE COLLINS PT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-680-5500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "AR",
            "license": "PT2750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Electrophysiology Physical Therapist in Richardson, TX
• Providers in Richardson, TX by specialty
• Clinical Electrophysiology Physical Therapist in Texas

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

Verify at the official NPI Registry.