Physical Therapist
BERKELEY CORCORAN
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1407363328 · enumerated 2017-12-30 · record updated 2022-03-31. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 65 E WADSWORTH PARK DR STE 230, DRAPER, UT, 84020-8096 (385) 308-8034 Google Maps Apple Maps OpenStreetMap
- Mailing address 474 LYTLE AVE SE, ATLANTA, GA, 30316-1510 (904) 315-3896 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · License 040.0134281 VT
- Physical Therapist 225100000X · License PT5928 ME
- Physical Therapist 225100000X · License 05014519A IN
- Physical Therapist 225100000X · License PT030293 PA
- Physical Therapist 225100000X · License PT200001193 DC
- Physical Therapist 225100000X · License 15718-24 WI
- Physical Therapist 225100000X · License 048415-01 NY
- Physical Therapist 225100000X · License PT019545 OH
- Physical Therapist 225100000X · Primary · License PT013456 GA
In this directory
Locations and evidence
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Practice location
DRAPER, UT, 840208096
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.