KATELYN MARIE CORDERMAN DPT
NPI 1750922514
Physical Therapist in Jacksonville, NC
About Katelyn Marie Corderman Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN MARIE CORDERMAN DPT (NPI 1750922514) is an individual physical therapist in Jacksonville, North Carolina, licensed in North Carolina (P25026) and active in the NPI registry since October 2019. She is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katelyn Marie Corderman Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Katelyn Corderman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, NC 28540
- Reassigned Medicare billing, North Carolina enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, NC 28540
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 Katelyn Corderman's NPI number?
The NPI number for Katelyn Corderman is 1750922514. It was assigned to this individual provider in the NPPES registry on October 3, 2019.
Where is Katelyn Corderman located?
Katelyn Corderman practices at 2453 Gum Branch Rd Ste 600, Jacksonville, NC 28540. The listed phone number is (910) 353-9800.
What is Katelyn Corderman's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Katelyn Corderman enrolled in Medicare?
Yes. Katelyn Corderman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Katelyn Corderman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Corderman reassigns Medicare benefits to Jacksonville Physical Therapy Center, Inc. (Jacksonville, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelyn Corderman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Katelyn Corderman was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.