Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Collinsville Physical Therapy Clinic, LLC

Organization Physical Therapist · NPI 1831394196

Collinsville Physical Therapy Clinic, LLC provides Physical Therapist services in Collinsville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9099 Collinsville Rd # A
Collinsville, MS 39325-9779
Phone: (601) 626-8885
Fax: (601) 626-8885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT3002 (MS)

Record details

NPI number1831394196
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dewayna Roberts — Officw Manager · (601) 626-8885
NPI enumeratedJune 18, 2007
Last updated in NPPESSeptember 28, 2026
Certification dateSeptember 28, 2026
Mailing address9099 Collinsville Rd # A, Collinsville, MS 39325-9779

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