Provider Demographics
NPI:1912984345
Name:COLLINS, BARBARA J (PT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J
Last Name:COLLINS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:BOBBIE
Other - Middle Name:J
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:3655A OLD COURT RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3959
Mailing Address - Country:US
Mailing Address - Phone:410-486-9461
Mailing Address - Fax:410-486-1376
Practice Address - Street 1:3655A OLD COURT RD
Practice Address - Street 2:SUITE 7
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-3959
Practice Address - Country:US
Practice Address - Phone:410-486-9461
Practice Address - Fax:410-486-1376
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15111225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDK386/39887001OtherBCBS PPO
MD118146OtherTRIGON BCBS
MDW3810001OtherBSF, CAREFIRST REGIONAL
MDK386/39887001OtherBCBS PPO
MDK386948NMedicare ID - Type UnspecifiedMEDICARE PART B PROVIDER