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

Jeremy Christopher McCorristin, DPT

Individual provider Physical Therapist · NPI 1205320645

Jeremy Christopher McCorristin, DPT is a Physical Therapist in Holladay, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4782 S Holladay Blvd
Holladay, UT 84117-5444
Phone: (801) 277-7002
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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 7958137-2401 (UT)

Record details

NPI number1205320645
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 19, 2018
Last updated in NPPESJune 19, 2018

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