Provider Demographics
NPI:1487286191
Name:CORN, SARAH CATHERINE (PT, DPT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:CATHERINE
Last Name:CORN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2999 OLYMPUS BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-1205
Mailing Address - Country:US
Mailing Address - Phone:866-871-8519
Mailing Address - Fax:
Practice Address - Street 1:340 E 1ST AVE STE 307
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-2454
Practice Address - Country:US
Practice Address - Phone:303-466-6463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-11
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH9743225100000X
COPTL.0020164225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist