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

Korryn Wiese, PT, CMPT

Individual provider Physical Therapist · NPI 1528036878

Korryn Wiese, PT, CMPT is a Physical Therapist in Private Practice in South Ogden, Utah. Qualified in 1988, 38 years ago. Practices with Body Tune Physical Therapy PC, a 2-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
38
Licensed in
UT
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

5856 Harrison Blvd Ste A
South Ogden, UT 84403-4397
Phone: (801) 475-6415
Fax: (801) 475-6417
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 117905-2401 (UT)

Record details

NPI number1528036878
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , CMPT
Sole proprietorNo
NPI enumeratedMarch 11, 2006
Last updated in NPPESAugust 19, 2007
Mailing address5856 Harrison Blvd, Suite A, South Ogden, UT 84403-4397

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Body Tune Physical Therapy Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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