Individual provider · Type 1 NPI

Corbin Martin, PTA

Physical Therapy Assistant · Taylorsville, UT

NPI number 1104744713 Active

Practice location

2195 W 5400 S Ste 105
Taylorsville, UT 84129-1433

Mailing address

3914 W 950 N
Lehi, UT 84048-7788

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X142169902402 (UT)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1104744713

Corbin Martin, PTA's National Provider Identifier is 1104744713, issued on Jul 9, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Taylorsville, UT. The record was last updated on Jul 9, 2026.