Collins, Jill Ivory
Collins, Jill Ivory is an sole proprietor health care provider with primary practice located at 14421 Metropolis Ave Ste 103 , Fort Myers FL 33912-4323. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Collins, Jill Ivory can be contacted via phone (239) 561-2778.Contact Information
Primary practice address
14421 Metropolis Ave Ste 103
Fort Myers FL 33912-4323
Phone: (239) 561-2778
Fax: (239) 561-8107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT24732 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT24732 | Florida |
Profile Details
| NPI number | 1003491481 |
|---|---|
| LBN Legal business name | Collins, Jill Ivory |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2021 |
| Last updated | Jun 8th, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003491481 | NPPES |
| Florida | MEDICAID | 109944800 |
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