Corey Garn, DPT
Individual provider Active NPI Physical Therapist · Riverton, UT
NPI 1467201376 · NPPES record last updated May 14, 2024
Key facts
- NPI
- 1467201376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 13972909 (UT)
- Practice address
- 12391 S 4000 W Ste 210
Riverton, UT 84096-7035 - Phone
- (801) 446-0990
- NPI assigned
- May 14, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Registered Physical Therapists Inc
Practice addresses (Care Compare)
12391 S 4000
Suite 210
Riverton, UT 84096-7035
Phone (801) 446-0990
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240917001690 | UT | Practitioner - Physical Therapist in Private Practice | 4981145000 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13972909 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Registered Physical Therapists LLC | Current |
Accepting new patients |
Locations
12391 S 4000 W
Ste 210
Riverton, UT 84096
Phone (801) 446-0990
9844 S 1300 E
Ste 300
Sandy, UT 84094
Phone (801) 572-0690
1577 W 7000 S
Ste 100
West Jordan, UT 84084
Phone (801) 566-6301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13972909 | UT | Yes |
Addresses
Primary practice location
12391 S 4000 W Ste 210
Riverton, UT 84096-7035
Mailing address
9844 S 1300 E Ste 300
Sandy, UT 84094-4693
Phone (801) 571-0099
Other providers in Riverton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2024. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.