MR. LOREN KODA KIMBLE (NPI# 1336473362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336473362 |
| Entity Type | Individual |
| Full Name | MR. LOREN KODA KIMBLE |
| Credential | PT |
| Practice Address |
1600 Corporate Cir Petaluma CA 94954-6912 |
| Practice Telephone | 7079818604 |
| Practice Fax Number | 7079818647 |
| Mailing Telephone | 7079818604 |
| Mailing Fax Number | 7079818647 |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2017-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT35941 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1600 CORPORATE CIR |
| City | PETALUMA |
| State | CA |
| Zip Code | 94954-6912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356797542 | Koda Physical Therapy and Sports Performance | Clinic/Center | 1600 Corporate Cir, Petaluma, CA 94954-6912 | 2016-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883840 | Miguel Ibarra | Counselor | 5350 Old Redwood Highway, Petaluma, CA 94954 | 2019-10-28 |
| 1073169223 | Monica Renee Najera | Behavior Technician | 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 | 2019-08-14 |
| 1326607201 | Making Magic Happen - People Helping People, Inc. | Marriage & Family Therapist | 1318 Redwood Way, Suite 260, Petaluma, CA 94954 | 2019-06-13 |
| 1477019917 | Rubi Isela Cruz Mendoza I | Behavioral Analyst | 8 Round Walk Circle, Petaluma, CA 94954 | 2019-02-20 |
| 1932679511 | Karen Christianson | Behavior Technician | 1670 Corporate Circle Suite 100, Petaluma, CA 94954 | 2018-11-27 |
| 1669956967 | Alyssa Messer | Assistant Behavior Analyst | 1670 Corporate Cir, Petaluma, CA 94954 | 2018-09-21 |
| 1235620592 | Mallory Paige Mullikin | Nurse Practitioner | 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 | 2018-05-22 |
| 1457723710 | Lisabel Dolne | Counselor | 1360 N. Mcdowell Blvd.1a, Petaluma, CA 94954 | 2015-10-27 |
| 1083080717 | Pacific Restorative Center | Clinic/Center | 1456 Professional Drive, Suite 404, Petaluma, CA 94954 | 2015-08-17 |
| 1619354198 | Accu Quest Hearing Centers | Clinic/Center | 1456 Professional Dr., Suite 404, Petaluma, CA 94954 | 2015-05-04 |
| Find all providers in zip 94954 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233413 | Christina Ast | Physical Therapist | 140 2nd St, Petaluma, CA 94952-7424 | 2019-06-06 |
| 1790275055 | Renee Michelle Hamley | Physical Therapist | 323 English St, Petaluma, CA 94952-2530 | 2018-05-12 |
| 1770002339 | Joshua Madonick | Physical Therapist | 1320 Industrial Ave Ste K, Petaluma, CA 94952-6522 | 2017-09-14 |
| 1780079897 | Dianna Francesca Ditoro | Physical Therapist | 618 Prospect St, Petaluma, CA 94952-2660 | 2015-04-06 |
| 1376953133 | Sonoma Hills Physical Therapy, Inc. | Physical Therapist | 151 Lynch Creek Way, Petaluma, CA 94954-2342 | 2014-05-02 |
| 1295171411 | Justin Henry Weeks | Physical Therapist | 224 Weller St, Suite A, Petaluma, CA 94952-3136 | 2013-05-14 |
| 1205165198 | Christine O'meara | Physical Therapist | 1712 Chehalis Dr, Petaluma, CA 94954-2346 | 2009-12-23 |
| 1114161635 | Lory M Teicheira | Physical Therapist | 306 Bassett St, Petaluma, CA 94952-2512 | 2009-04-28 |
| 1669660833 | Kirsten E Dumford | Physical Therapist | 2039 Crinella Dr, Petaluma, CA 94954-5627 | 2007-10-12 |
| 1851450258 | Stephanie Lynn Falkenberg | Physical Therapist | 1761 Rosamond St, Petaluma, CA 94954-8584 | 2006-12-08 |
| Find all providers in PETALUMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.