JORDAN COLLINS (DPT) – Orthopedic Physical Therapist, NPI 1205606142

JORDAN COLLINS (DPT) is a healthcare provider. based in Lehi, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 13699113-2401 (UT). The NPI Number for JORDAN COLLINS (DPT) is 1205606142

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN COLLINS (DPT)
NPI
1205606142
Phone
(530) 353-8311
Address
3647 W 2280 N UNIT 301
Enumeration Date
2 January 2024
Last Update Date
2 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8017664244601
Graduation Year
2023 (3 years ago)
PAC ID
0042654337
Group Practice PAC ID
0042228512
Professional Enrollment ID
I20240214002546
Address ID
UT840597510VI691XX400X301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

Provider Addresses for JORDAN COLLINS (DPT)

  • 3647 W 2280 N UNIT 301

    LEHI, UT 840434366

    Phone: (530) 353-8311

    Type: Mailing

  • 691 E 400 N STE 210

    VINEYARD, UT 840597510

    Phone: (801) 766-4244

    Type: Location

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: 2024-02-14

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
I20240214002546IPhysical Therapist In Private PracticeUTTBD

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 84043)

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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: 0042228512View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeUT
Occupational Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeAR
-UT
-UT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
-UT
Qualified Speech Language PathologistUT

Reviews

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Frequently asked questions

What number should I use to identify JORDAN COLLINS (DPT) for billing?
Administrative and clinical systems typically use NPI 1205606142 for JORDAN COLLINS (DPT).
Should I treat JORDAN COLLINS (DPT) as an active provider?
Patients and plans typically see JORDAN COLLINS (DPT) as active in the national extract.
Which specialty label fits JORDAN COLLINS (DPT)?
NPPES ties JORDAN COLLINS (DPT) to Orthopedic Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to JORDAN COLLINS (DPT)?
JORDAN COLLINS (DPT) shows a connection to Lehi, Utah in registry-derived data.
Who maintains JORDAN COLLINS (DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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