DR. COLLIN DEAN (PT, DPT, ATC) – Physical Therapist, NPI 1104493949

DR. COLLIN DEAN (PT, DPT, ATC) is a healthcare provider. based in Phoenix, Arizona. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, ATC. The NPI Number for DR. COLLIN DEAN (PT, DPT, ATC) is 1104493949

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. COLLIN DEAN (PT, DPT, ATC)
NPI
1104493949
Phone
(540) 236-2734
Address
2103 W PARKSIDE LN STE 103
Enumeration Date
9 June 2021
Last Update Date
10 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4803066627
Graduation Year
2024 (2 years ago)
PAC ID
5395272595
Group Practice PAC ID
6800228479
Professional Enrollment ID
I20241230003166
Address ID
AZ853815231PE8240XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:5State licenses:0Digital endpointsOther names

2,785 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AZ

Provider Addresses for DR. COLLIN DEAN (PT, DPT, ATC)

  • 2103 W PARKSIDE LN STE 103

    PHOENIX, AZ 850271245

    Phone: (540) 236-2734

    Type: Mailing

  • 9327 INDIAN SPRINGS DR

    ELKTON, VA 228272045

    Phone: (540) 236-2734

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241230003166IPhysical Therapist In Private PracticeAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85027)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800228479View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeAZ
-AZ
Physical Therapist In Private PracticeAZ
Physician AssistantAZ
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

Is there an official ID for DR. COLLIN DEAN (PT, DPT, ATC) in U.S. healthcare records?
The official identifier for DR. COLLIN DEAN (PT, DPT, ATC) is NPI 1104493949.
Is DR. COLLIN DEAN (PT, DPT, ATC) still an active registrant?
DR. COLLIN DEAN (PT, DPT, ATC) carries an active NPI according to the public dataset.
What kind of doctor is DR. COLLIN DEAN (PT, DPT, ATC)?
DR. COLLIN DEAN (PT, DPT, ATC) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. COLLIN DEAN (PT, DPT, ATC) associated with Phoenix?
Public fields place DR. COLLIN DEAN (PT, DPT, ATC) around Phoenix, Arizona. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. COLLIN DEAN (PT, DPT, ATC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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