Healthcare Provider Details

I. General information

NPI: 1023640273
Provider Name (Legal Business Name): RACHEL COLLINS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2020
Last Update Date: 02/05/2020
Certification Date: 02/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 ARDMORE BLVD
PITTSBURGH PA
15221-4608
US

IV. Provider business mailing address

236 STANFORD AVE
PITTSBURGH PA
15229-1522
US

V. Phone/Fax

Practice location:
  • Phone: 412-271-8347
  • Fax:
Mailing address:
  • Phone: 412-526-5513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT028335
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: