Collinsville Physical Therapy Clinic, LLC
NPI 1831394196 · Physical Therapist · Collinsville, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Collinsville Physical Therapy Clinic, LLC is a Physical Therapist organization in Collinsville, MS (NPI 1831394196).
Provider details
- NPI number
- 1831394196
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Dewayna Roberts, Officw Manager(601) 626-8885
- License
- PT3002 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-18
- Last updated
- 2010-11-01
Frequently asked questions
- What is Collinsville Physical Therapy Clinic, LLC's NPI number?
- Collinsville Physical Therapy Clinic, LLC's National Provider Identifier (NPI) is 1831394196, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Collinsville Physical Therapy Clinic, LLC?
- Collinsville Physical Therapy Clinic, LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Collinsville Physical Therapy Clinic, LLC located?
- Collinsville Physical Therapy Clinic, LLC's practice location on file with NPPES is 9099 Collinsville Rd # a, Collinsville, MS 39325-9779.
- What is Collinsville Physical Therapy Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Collinsville Physical Therapy Clinic, LLC is (601) 626-8885.
- Does Collinsville Physical Therapy Clinic, LLC accept Medicare?
- Collinsville Physical Therapy Clinic, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Collinsville Physical Therapy Clinic, LLC?
- The authorized official listed on Collinsville Physical Therapy Clinic, LLC's NPPES record is Dewayna Roberts, Officw Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Collinsville Physical Therapy Clinic, LLC's NPI active?
- Yes — Collinsville Physical Therapy Clinic, LLC's NPI (1831394196) is active in the NPPES registry as of the last update on 2010-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.