Individual provider Active NPI

Andrea Elizabeth Corwin, DPT

  • Physical Therapist
  • Salt Lake City, UT
National Provider Identifier
1891272035
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11417680-2401 Issued in UT
Practice address
5151 S 900 E Ste 100
Salt Lake City, UT 84117
Phone
(801) 261-3321
Fax
(801) 261-5942
NPI assigned
Jul 20, 2018
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 295031 CA
Physical Therapist 225100000X 11417680-2401 UT Primary

Addresses

Primary practice location

5151 S 900 E Ste 100
Salt Lake City, UT 84117

Mailing address

5151 S 900 E Ste 100
Salt Lake City, UT 84117-6658
Phone (801) 261-3321

Other practice location 1

300 Sierra College Dr Ste 165
Grass Valley, CA 95945-5083
Phone (530) 274-2320

Other identifiers 2

IdentifierTypeStateIssuer
295031OtherCAPHYSICAL THERAPY LICENSE
11417680-2401OtherUTPHYSICAL THERAPY LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ACORWIN239884@DIRECT.MED.UTAH.EDU Direct University of Utah

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

LicenseStateTypeSpecialty
295031CAMDPhysical Therapist
11417680-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Hill Physical Therapy and Acupuncture Physical Therapist PastSince Jul 18, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: acorwin239884@direct.med.utah.edu

Organizations & group practices 1

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": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1891272035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 S 900 E STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841176658",
            "telephone_number": "801-261-3321",
            "fax_number": "801-261-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 S 900 E STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84117",
            "telephone_number": "801-261-3321",
            "fax_number": "801-261-5942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Sierra College Dr Ste 165",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "959455083",
            "country_code": "US",
            "telephone_number": "530-274-2320",
            "fax_number": "530-852-0933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORWIN",
        "first_name": "ANDREA",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295031",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "11417680-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "295031",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "11417680-2401",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ACORWIN239884@DIRECT.MED.UTAH.EDU",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.