Active NPIIndividual provider

Braden M Collins, DPT

Physical Therapist in Medford, Massachusetts

NPI Number1639779952
Practice location
4110 Mystic Valley Pkwy Ste 12, Medford, MA 02155-6931
Fax
—
Last updated
October 16, 2024

Braden M Collins is a Physical Therapist based in Medford, MA. Braden M Collins practices in Medford, MA and has the professional credentials of DPT. The NPI Number for Braden M Collins is 1639779952 and holds a License No. PTL27647 (MA). The current practice location address for Braden M Collins is 4110 Mystic Valley Pkwy Ste 12, Medford, MA 02155-6931 and can be reached out via phone at 781-960-6030.

Provider Profile Details

NPI Number
1639779952
Provider Name
Braden M Collins
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
4110 Mystic Valley Pkwy Ste 12, Medford, MA 02155-6931
Phone Number
781-960-6030
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
October 27, 2020
Last Update Date
October 16, 2024
Certification Date
October 16, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
4110 Mystic Valley Pkwy Ste 12
Medford, MA 02155-6931
Zip
02155-6931
Phone Number
781-960-6030
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
790 Remington Blvd
Bolingbrook, IL 60440-4909
City
Bolingbrook
State
IL
Zip
60440-4909
Phone Number
866-370-8206

License Information

License Number (1)
PTL27647
License State (1)
MA
Taxonomy (1)
Physical Therapist · 225100000X · Primary
License Number (2)
05013970A
License State (2)
IN
Taxonomy (2)
Physical Therapist · 225100000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Braden M Collins, DPT?

The NPI number of Braden M Collins, DPT is 1639779952. It was assigned on October 27, 2020 and is currently active in the NPPES registry.

What is the specialty of Braden M Collins, DPT?

Braden M Collins, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number PTL27647.

Where does Braden M Collins, DPT practice?

The practice location is 4110 Mystic Valley Pkwy Ste 12, Medford, MA 02155-6931. The office can be reached at 781-960-6030 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639779952 directly on the NPPES registry website.

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