Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MR. DOUGLAS R MCCORKLE
Active
Individual
MR. DOUGLAS R MCCORKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003309
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN2522
—
VT
01
—
11325931
CAQH
—
01
—
49955
BCBS
VT
01
—
VN252202
MEDICARE PTAN
VT
Enumeration date
08/09/2006
Last updated
09/20/2014
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