Individual provider · Type 1 NPI

Kenneth Joseph Corcoran, PT, DPT, SCS

Sports Physical Therapist · Charlotte, NC

NPI number 1508075334 Active

Practice location

2826 Randolph Rd
Charlotte, NC 28211-1386

Mailing address

PO Box 12512
Charlotte, NC 28220-2512

Specialties and licenses

TaxonomyCodeLicense
Sports Physical Therapist 2251S0007X029027-1 (NY)
Sports Physical Therapist 2251S0007X40QA01368400 (NJ)
Sports Physical Therapist Primary 2251S0007X18323 (NC)

Sports Physical Therapist: 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, medica…

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About NPI 1508075334

Kenneth Joseph Corcoran, PT, DPT, SCS's National Provider Identifier is 1508075334, issued on May 21, 2007. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Charlotte, NC. The record was last updated on Sep 20, 2018.