Healthcare Provider Details

I. General information

NPI: 1457202285
Provider Name (Legal Business Name): NICHOLAS CORBIT DPT, PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46262 CRANSTON ST STE 115B
STERLING VA
20165-7241
US

IV. Provider business mailing address

124 TRUNK DR
STEPHENS CITY VA
22655-2911
US

V. Phone/Fax

Practice location:
  • Phone: 571-306-4113
  • Fax: 571-313-1073
Mailing address:
  • Phone: 540-303-8576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305217593
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: