Berkeley Vandyke Corcoran

Physical Therapist · Draper, UT

Individual Active NPI

NPI number 1407363328

Practice location

65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Phone
(385) 308-8034

Open in Google Maps

NPI record

NPI
1407363328
Entity type
Individual (Type 1)
Enumeration date
December 30, 2017
Last updated
March 31, 2022
Certified
March 31, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X PT013456 GA
Physical Therapist 225100000X 040.0134281 VT
Physical Therapist 225100000X PT5928 ME
Physical Therapist 225100000X 05014519A IN
Physical Therapist 225100000X PT030293 PA
Physical Therapist 225100000X PT200001193 DC
Physical Therapist 225100000X 15718-24 WI
Physical Therapist 225100000X 048415-01 NY
Physical Therapist 225100000X PT019545 OH

Mailing address

474 Lytle Ave SE
Atlanta, GA 30316-1510
Phone
(904) 315-3896

About Berkeley Corcoran

Berkeley Vandyke Corcoran is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020-8096. The NPI number 1407363328 was assigned on December 30, 2017 and the record was last updated on March 31, 2022.

Berkeley Corcoran lists 9 licenses in the registry: #PT013456 (GA) for Physical Therapist; #040.0134281 (VT) for Physical Therapist; #PT5928 (ME) for Physical Therapist; #05014519A (IN) for Physical Therapist; #PT030293 (PA) for Physical Therapist; #PT200001193 (DC) for Physical Therapist; #15718-24 (WI) for Physical Therapist; #048415-01 (NY) for Physical Therapist; #PT019545 (OH) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Berkeley Vandyke Corcoran?

The NPI number is 1407363328.

What is the phone number of Berkeley Corcoran?

The phone number listed for the practice location is (385) 308-8034.

Where is Berkeley Corcoran located?

65 E Wadsworth Park Dr Ste 230, Draper, UT 84020-8096.

What is the taxonomy code for Berkeley Corcoran?

The primary taxonomy code is 225100000X – Physical Therapist; 8 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physical Therapist providers in Draper

All Physical Therapist providers in Draper, UT →