Individual provider Active NPI

Katherine W McCorkle

  • Sports Physical Therapist
  • Erlanger, KY
National Provider Identifier
1710497623
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
PT017189 Issued in OH
Practice address
600 Rodeo Dr
Erlanger, KY 41018-1279
Phone
(513) 815-5585
Fax
(859) 342-0079
NPI assigned
Oct 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 007248 KY
Sports Physical Therapist 2251S0007X PT017189 OH Primary

Addresses

Primary practice location

600 Rodeo Dr
Erlanger, KY 41018-1279

Mailing address

6480 Harrison Ave
Cincinnati, OH 45247-7961
Phone (513) 354-3700

Other practice location 1

775 Alexandria Pike
Fort Thomas, KY 41075-2166
Phone (859) 572-1689

Other practice location 2

6480 Harrison Ave
Cincinnati, OH 45247-7961
Phone (513) 354-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171129003494 KY Practitioner - Physical Therapist in Private Practice 8921365941 Reassigns benefits to 1 organization
I20220419000502 OH Practitioner - Physical Therapist in Private Practice 8921365941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 Rodeo Dr
Erlanger, KY 41018-1279
Phone (513) 354-3700

6480 Harrison Ave
Cincinnati, OH 45247-7821
Phone (513) 354-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007248KYMDSports Physical Therapist
PT017189OHMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Orthopaedics & Sports Medicine, LTD CurrentSince Oct 27, 2017 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Oct 27, 2017 Accepting new patients

Locations

600 Rodeo Dr
Erlanger, KY 41018
Phone (513) 574-5400

775 Alexandria Pike
Fort Thomas, KY 41075
Phone (859) 572-1689

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

6480 Harrison Ave
Ste 202
Cincinnati, OH 45247
Phone (513) 354-7777

Interoperability endpoints

  • Direct secure messaging: katherine.mccorkle.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1710497623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "513-354-3700",
            "fax_number": "513-354-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RODEO DR",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410181279",
            "telephone_number": "513-815-5585",
            "fax_number": "859-342-0079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Alexandria Pike",
            "address_purpose": "LOCATION",
            "city": "Fort Thomas",
            "state": "KY",
            "postal_code": "410752166",
            "country_code": "US",
            "telephone_number": "859-572-1689",
            "fax_number": "859-441-0153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6480 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452477961",
            "country_code": "US",
            "telephone_number": "513-354-7777",
            "fax_number": "513-354-7778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORKLE",
        "first_name": "KATHERINE",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "KY",
            "license": "007248",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "OH",
            "license": "PT017189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erlanger, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.