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

Berkeley Vandyke Corcoran

Individual provider Physical Therapist · NPI 1407363328

Berkeley Vandyke Corcoran is a Physical Therapist in Draper, Utah. Licensed in District of Columbia, Georgia, Indiana and Maine and 5 more. Registered with an NPI since 2017.

Licensed in
DC, GA, IN, ME, NY, OH
In the registry since
2017
Specialties on file
9
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Practice location Address checks out

65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Phone: (385) 308-8034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT013456 (GA)
Physical Therapist Taxonomy 225100000X · Licence 040.0134281 (VT)
Physical Therapist Taxonomy 225100000X · Licence PT5928 (ME)
Physical Therapist Taxonomy 225100000X · Licence 05014519A (IN)
Physical Therapist Taxonomy 225100000X · Licence PT030293 (PA)
Physical Therapist Taxonomy 225100000X · Licence PT200001193 (DC)
Physical Therapist Taxonomy 225100000X · Licence 15718-24 (WI)
Physical Therapist Taxonomy 225100000X · Licence 048415-01 (NY)
Physical Therapist Taxonomy 225100000X · Licence PT019545 (OH)

Record details

NPI number1407363328
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 30, 2017
Last updated in NPPESMarch 31, 2022
Certification dateMarch 31, 2022
Mailing address474 Lytle Ave Se, Atlanta, GA 30316-1510

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