Active NPI
Andrea Elizabeth Corwin, DPT
- Physical Therapist
- Salt Lake City, UT
National Provider Identifier
1891272035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11417680-2401
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 295031 | Other | CA | PHYSICAL THERAPY LICENSE |
| 11417680-2401 | Other | UT | PHYSICAL THERAPY LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 295031 | CA | MD | Physical Therapist |
| 11417680-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring Hill Physical Therapy and Acupuncture | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Physical Therapist
- Grass Valley, CA
- NPI 1457443947
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.