Provider Demographics
NPI:1700965548
Name:COLLINS, ANNA KRISTINA (PT, CERT MDT)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:KRISTINA
Last Name:COLLINS
Suffix:
Gender:F
Credentials:PT, CERT MDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2748 COLONIAL DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4947
Mailing Address - Country:US
Mailing Address - Phone:406-443-1122
Mailing Address - Fax:406-443-1144
Practice Address - Street 1:2748 COLONIAL DR
Practice Address - Street 2:SUITE A
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601
Practice Address - Country:US
Practice Address - Phone:406-443-1122
Practice Address - Fax:406-443-1144
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1243225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT3401294Medicaid
MT201872238OtherTAX IDENTIFICATION
MT000050777Medicare ID - Type UnspecifiedMEDICARE PROVIDER #
MT000084393Medicare ID - Type UnspecifiedMEDICARE GROUP #