Alyssa Corcoran

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

32836 Issued in FL

Practice address

221 Mahalani St
Wailuku, HI 96793-2526

Phone

(808) 244-9056

NPI assigned

Jun 18, 2022

Last updated

Jun 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655510400000",
    "number": "1639800998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7116 DORNOUGH LN",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342024004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932526",
            "telephone_number": "808-244-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-18",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "32836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Health and Attitude Management Programs Inc (Champ Clinic Inc)
• Diane Conklin, APRN
• Douglas Wesley Cook, M.D.
• Douglas M Cooper, MD
• Cora S Tasaki MD Inc
• Core Physical Therapy of Maui (Core Physical Therapy)
• Ramona Keiko Lee Corson, R.PH, PHARM.D.,
• Robert Scott Corson, RPH
• Roleen Ashley Cosma, LMFT
• Joseph Cosner

• Physical Medicine & Rehabilitation Physician in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Physical Medicine & Rehabilitation Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.