Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Collinsville Physical Therapy Clinic, LLC

Organization Physical Therapist · NPI 1831394196

Collinsville Physical Therapy Clinic, LLC is a Physical Therapist 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 NPPESNovember 1, 2010
Mailing address9099 Collinsville Rd # A, Collinsville, MS 39325-9779

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