Individual ProviderNathaniel Blaine CollinsPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4935 N 30th St, Colorado Springs, CO 80919-3149(719) 266-1710(785) 979-6464PECOS EnrollmentBased on the most recent information from CMS, provider Nathaniel Blaine Collins does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:41 AM.Profile DetailsProvider ID1043565799Provider TypeIndividualFull NameCollins, Nathaniel BlaineTitleDr.CredentialD.P.T.GenderMaleSole ProprietorNoEnumeration Date7/18/2012Last Updated6/9/2020Contact InformationPractice LocationPractice Address4935 N 30th St, Colorado Springs, CO 80919-3149Phone(719) 266-1710Fax(719) 623-0041Mailing LocationMailing Address311 Pyrite Ter, Colorado Springs, CO 80905-4289Phone(785) 979-6464FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense0011773Colorado