Berkeley Vandyke Corcoran
NPI 1407363328ActiveIndividual· Physical Therapist· Draper, UT
Physical Therapist in Draper, Utah, licensed in GA, VT, ME and IN and other states, with an NPI issued in December 2017.
Overview
| NPI | 1407363328 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 30, 2017 |
| Last updated in NPPES | Mar 31, 2022 |
| Certified by provider | Mar 31, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT013456 | GA |
| Physical Therapist | 225100000X | 040.0134281 | VT |
| Physical Therapist | 225100000X | PT5928 | ME |
| Physical Therapist | 225100000X | 05014519A | IN |
| Physical Therapist | 225100000X | PT030293 | PA |
| Physical Therapist | 225100000X | PT200001193 | DC |
| Physical Therapist | 225100000X | 15718-24 | WI |
| Physical Therapist | 225100000X | 048415-01 | NY |
| Physical Therapist | 225100000X | PT019545 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 155 physical therapists in Draper · All physical therapists in Utah