Provider Demographics
NPI:1932440690
Name:COLLINS PHYSICAL THERAPY INSTITUTE, INC.
Entity Type:Organization
Organization Name:COLLINS PHYSICAL THERAPY INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:A
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-384-5952
Mailing Address - Street 1:800 GOODLETTE RD N
Mailing Address - Street 2:SUITE 140
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5400
Mailing Address - Country:US
Mailing Address - Phone:239-384-5952
Mailing Address - Fax:239-384-5970
Practice Address - Street 1:800 GOODLETTE RD N
Practice Address - Street 2:SUITE 140
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102
Practice Address - Country:US
Practice Address - Phone:239-384-5952
Practice Address - Fax:239-384-5970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-06
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty