Active NPI
Korey Derocher
- Physical Therapist
- Lehi, UT
National Provider Identifier
1023582160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8367449-8016
- Practice address
- 230 N 1200 E Ste 103
Lehi, UT 84043-5866 - Phone
- (801) 980-0860
- NPI assigned
- Jan 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8367449-8016 | UT | Primary |
Addresses
Primary practice location
230 N 1200 E Ste 103
Lehi, UT 84043-5866
Mailing address
9595 Aztec Dr
Cedar Hills, UT 84062-8799
Phone (334) 730-5915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
230 N 1200
Suite 103
Lehi, UT 84043-5866
Phone (801) 980-0860
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8367449-8016 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align Therapy of St George | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Lehi, UT
- NPI 1225415086
-
- Physical Therapist
- St George, UT
- NPI 1568246973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547164800000",
"number": "1023582160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9595 AZTEC DR",
"city": "CEDAR HILLS",
"state": "UT",
"postal_code": "840628799",
"telephone_number": "334-730-5915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N 1200 E STE 103",
"city": "LEHI",
"state": "UT",
"postal_code": "840435866",
"telephone_number": "801-980-0860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEROCHER",
"first_name": "KOREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-11",
"last_updated": "2019-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "8367449-8016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.