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

Mr. Nickolas Dale McCollum, PTA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1922685957

Mr. Nickolas Dale McCollum, PTA is a Physical Medicine & Rehabilitation Physician in Kansas City, Missouri. Licensed in Missouri. Registered with an NPI since 2021.

Licensed in
MO
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

5901 NW 63rd Ter Ste 50
Kansas City, MO 64151-3431
Phone: (816) 589-6234
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 2018001717 (MO)

Record details

NPI number1922685957
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 25, 2021
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 2021

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