Active NPI
Joseph Michael Corcoran, P.T.
- Physical Medicine & Rehabilitation Physician
- Paoli, PA
National Provider Identifier
1093711020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT-000620-E
- Practice address
- 30 S Valley Rd
Ste 102
Paoli, PA 19301-1469 - Phone
- (610) 647-1996
- Fax
- (610) 408-8677
- NPI assigned
- Jun 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 Medicine & Rehabilitation Physician | 208100000X | PT-000620-E | PA | Primary |
Addresses
Primary practice location
30 S Valley Rd
Ste 102
Paoli, PA 19301-1469
Mailing address
30 S Valley Rd
Ste 102
Paoli, PA 19301-1469
Phone (610) 647-1996
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 804015 | Other | PA | UNITED HEALTHCARE |
| 0000195952 | Other | PA | BLUE SHIELD NUMBER |
| 8495471 | Other | PA | AETNA PROVIDER NUMBER |
| 244751 | Other | PA | MAMSI PROVIDER NUMBER |
| A522319 | Other | PA | OXFORD HEALTH PLANS |
Other names 1
- Mr. J Michael Corcoran
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-000620-E | PA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189641600000",
"number": "1093711020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 S VALLEY RD",
"address_2": "STE 102",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011469",
"telephone_number": "610-647-1996",
"fax_number": "610-408-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 S VALLEY RD",
"address_2": "STE 102",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011469",
"telephone_number": "610-647-1996",
"fax_number": "610-408-8677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORCORAN",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2007-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "PT-000620-E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "804015",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD NUMBER",
"identifier": "0000195952",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "8495471",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI PROVIDER NUMBER",
"identifier": "244751",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "A522319",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "J",
"last_name": "CORCORAN",
"middle_name": "MICHAEL",
"prefix": "MR.",
"credential": "P.T.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.