Randol Arias Corporan, PTA
Physical Therapy Assistant in Norfolk, VA. Individual provider (NPI-1).
NPI number1225864895
StatusActive
Last updated in NPPESNov 12, 2024
Details
- NPI
- 1225864895
- Entity type
- Individual (NPI-1)
- Name
- Mr. Randol Arias Corporan
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 11, 2024
- Certification date
- Nov 12, 2024
- Last updated
- Nov 12, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2306606124 | VA | Yes |
Other names
- Randol A Corporan (Other Name)
Practice location
600 Gresham DrNorfolk, VA 23507-1904
Phone 757-388-3000
Mailing address
5103 Regatta Pointe RdSuffolk, VA 23435-3525
Phone 843-271-0821
Other practice locations
984b Laskin Rd
Virginia Beach, VA 23451-3905
Virginia Beach, VA 23451-3905
Phone 757-395-6900 · Fax 833-628-5148
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 54 Physical Therapy Assistant providers in Norfolk · All 7,859 providers in Norfolk
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