DR. KENNETH JOSEPH CORCORAN PT DPT SCS NPI 1508075334

NPI Information

NPI: 1508075334
Provider Name: DR. KENNETH JOSEPH CORCORAN, PT, DPT, SCS
Classification: Physical Therapist - 2251S0007X
Entity Type: Individual

Specialization: Sports

Address:
2826 RANDOLPH RD
CHARLOTTE, NC
ZIP 28211
Phone: (716) 830-4866
Get Directions

DR. Kenneth Joseph Corcoran, PT, DPT, SCS is a sports physical therapist in Charlotte, NC. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. DR. Kenneth Joseph Corcoran, PT, DPT, SCS NPI is 1508075334. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2826 RANDOLPH RD
CHARLOTTE, NC
ZIP 28211-386
Phone: (716) 830-4866

The enumeration date for this NPI number is 5/21/2007 and was last updated on 9/20/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2251S0007X	Physical Therapist	Sports	029027-1	NEW YORK	No
2	2251S0007X	Physical Therapist	Sports	40QA01368400	NEW JERSEY	No
3	2251S0007X	Physical Therapist	Sports	18323	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	18323	OTHER	NORTH CAROLINA	LICENSE NUMBER
2	40QA01368400	OTHER	NEW JERSEY	LICENSE NUMBER
3	029027-1	OTHER	NEW YORK	LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »