Ryan Corra, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12882 Issued in SC

Practice address

205 Fike Rec Center
Clemson, SC 29634-6437

Phone

(561) 395-2920

NPI assigned

Jan 29, 2025

Last updated

Jun 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, SC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Physical Therapy and Sports Medicine, Inc.Group PAC ID 6608205307, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University Physical Therapy and Sports Medicine, Inc.

  • Physical Therapy Clinic/Center
  • Clemson, SC
  • NPI 1720442528

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Van Pelt & Associates Physical Therapy Services PA

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1619018504
  Medicare reassignment NPD
• Keowee Family Pharmacy, LLC

  • Community/Retail Pharmacy
  • Salem, SC
  • NPI 1427570282
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1366255820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 FAU BLVD STE 105",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316437",
            "telephone_number": "561-504-2106",
            "fax_number": "561-331-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 FIKE REC CENTER",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296346437",
            "telephone_number": "561-395-2920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3848 Fau Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334316437",
            "country_code": "US",
            "telephone_number": "561-504-2106",
            "fax_number": "561-331-2542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORRA",
        "first_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12882",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Pharmacy Group, Inc. (Patrick Square Pharmacy)
• Annette J Compton Lance, DPT
• Ryan M Cook, LPC
• James Cooley, MSW
• Paul Hix Corn
• Luz Aida Cortes Alba Hirsch, RPH
• Counseling and Psychological Services of the Upstate
• Michelle Evans Craven, PHARM.D.
• Chelsey C. Crenshaw, OTD
• Ann Elise Crisafulli, DPT

• Physical Therapist in Clemson, SC
• Providers in Clemson, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.

Verify at the official NPI Registry.