DR. KENNETH JOSEPH CORCORAN PT, DPT, SCS
NPI 1508075334
Physical Therapist - Sports in Charlotte, NC

Q: What is Kenneth Corcoran's NPI number?

The NPI number for Kenneth Corcoran is 1508075334. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Q: What is Kenneth Corcoran's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Corcoran was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 21, 2007

2826 RANDOLPH RD, CHARLOTTE, NC 28211(716) 830-4866 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kenneth Joseph Corcoran Pt, Dpt, Scs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH JOSEPH CORCORAN PT, DPT, SCS (NPI 1508075334) is an individual sports provider in Charlotte, North Carolina, licensed in North Carolina (18323) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1508075334

Entity TypeIndividualMale

Primary Taxonomy2251S0007X

Provider Legal NameDR. KENNETH JOSEPH CORCORANCredential: PT, DPT, SCS

Location Address2826 RANDOLPH RDCharlotte, NC 28211-1386

Mailing AddressPo Box 12512Charlotte, NC 28220-2512 · (716) 830-4866

Phone(716) 830-4866

Sole ProprietorNo

Enumeration DateMay 21, 2007

Last NPPES UpdateSeptember 20, 2018

✔ NPI 1508075334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251S0007X

Licenses✔ Licensed in NC · 18323✔ Licensed in NY · 029027-1✔ Licensed in NJ · 40QA01368400

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

2826 RANDOLPH RD, Charlotte, NC 28211

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Other Identifiers 3

Other18323NC · License Number

Other40QA01368400NJ · License Number

Other029027-1NY · License Number

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JEFFREY BENNETT LAT, ATC

Specialist/Technologist (Athletic Trainer)

2826 RANDOLPH RD
CHARLOTTE, NC 28211

Mecklenburg County (704) 366-5521

JODI ANN ARREGUIN PA-C

Physician Assistant

2826 RANDOLPH RD
CHARLOTTE, NC 28211

Mecklenburg County (704) 358-0308

CHERYL TELK

Physical Therapy Assistant

2826 RANDOLPH RD, 2ND FLOOR
CHARLOTTE, NC 28211

Mecklenburg County (704) 366-5521

DR. MARCUS PETER COOK M.D.

Orthopaedic Surgery

2826 RANDOLPH RD
CHARLOTTE, NC 28211

Mecklenburg County (704) 358-0308

KRISTINE ANN PUMPA DPT

Physical Therapist

2826 RANDOLPH RD
CHARLOTTE, NC 28211

Mecklenburg County (704) 366-5521

PERRY & BARRON ORTHOPEDICS & SPORTS MEDICINE, PA

Durable Medical Equipment & Medical Supplies

2826 RANDOLPH RD
CHARLOTTE, NC 28211

Mecklenburg County (704) 358-0670

MR. JOHN RYAN MAYNARD P.A.

Physician Assistant

2826 RANDOLPH RD
CHARLOTTE, NC 28211

Mecklenburg County (704) 358-0308

MRS. LEAH B CROMBEZ PT, DPT

Physical Therapist

2826 RANDOLPH RD, 2ND FLOOR
CHARLOTTE, NC 28211

Mecklenburg County (704) 366-5521

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Corcoran's NPI number?

The NPI number for Kenneth Corcoran is 1508075334. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Kenneth Corcoran located?

Kenneth Corcoran practices at 2826 Randolph Rd, Charlotte, NC 28211. The listed phone number is (716) 830-4866.

What is Kenneth Corcoran's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Kenneth Corcoran was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.