KORRYN WIESE (P.T., C.M.P.T.) – Physical Therapist, NPI 1528036878
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT
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Provider Addresses for KORRYN WIESE (P.T., C.M.P.T.)
5856, Harrison Boulevard, South Ogden, Weber County, Utah, 84403, United States
SUITE A
SOUTH OGDEN, UT 844034397
Phone: (801) 475-6415
Fax: (801) 475-6417
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-04-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060405000111 | I | Physical Therapist In Private Practice | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 768 | 81 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 632 | 78 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 601 | 79 | $0 |
| 97530 | Therapy procedure using functional activities | 264 | 51 | $0 |
| 97016 | Application of blood vessel compression device | 87 | 17 | $0 |
Insurance plans in this area (ZIP 84403)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | UT | 97001 | Physical therapy evaluation | 154 | 140 |
| PHYSICAL THERAPY | UT | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 2945 | 164 |
| PHYSICAL THERAPY | UT | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 1362 | 162 |
| PHYSICAL THERAPY | UT | 97535 | Self-care or home management training, each 15 minutes | 17 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| Physical Therapist In Private Practice | UT | |
| Physical Therapist In Private Practice | UT |
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