James P. Corcoran, DPT
Individual provider Active NPI Physical Therapist · Pinon, AZ
NPI 1063899540 · NPPES record last updated May 4, 2015
Key facts
- NPI
- 1063899540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 23976 (MD)
- Practice address
- Navajo Route 4
Pinon, AZ 86510 - Phone
- (928) 725-3220
- Fax
- (928) 725-3613
- NPI assigned
- May 4, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150528002522 | TX | Practitioner - Physical Therapist in Private Practice | 2163742388 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current | Accepting new patients | |
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current | Accepting new patients | |
| Ton Santa Rosa Health Center | Current |
Accepting new patients | |
| Ton San Xavier Health Center | Current |
Accepting new patients | |
| DHHS PHS Naihs Chinle Comprehensive | Current |
Accepting new patients | |
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current |
Accepting new patients | |
| Ton San Simon Health Center | Current |
Accepting new patients | |
| Ton Sells Hospital | Current |
Accepting new patients | |
| Ton San Xavier Health Center | Past | Accepting new patients | |
| Ton Sells Hospital | Past | Accepting new patients | |
| Ton Santa Rosa Health Center | Past | Accepting new patients |
Locations
7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23976 | MD | Yes |
Addresses
Primary practice location
Navajo Route 4
Pinon, AZ 86510
Mailing address
PO Box PH
Chinle, AZ 86503-8000
Phone (928) 674-7166
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23976 | Other | MD | STATE LICENSE |
Other providers in Pinon, AZ
- Charity Benson
- Betty Bizahaloni
- Elaine Bizahaloni
- Jennifer Deann Carroll
- Sarah Elizabeth Cooper
- Angela Curtright
- DHHS PHS Naihs Chinle Comprehensive Health Care Facility
- DHHS PHS Naihs Chinle Comprehensive Health Care Facility
- DHHS PHS Naihs Chinle Comprehensive Health Care Facility
- Stephen John Dienes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.