IDA L CORYELL HIRST (NPI# 1861494031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861494031 |
| Entity Type | Organization |
| Organization Name | IDA L CORYELL HIRST |
| Practice Address |
3908 Valley Ave Ste B Pleasanton CA 94566-4872 |
| Practice Telephone | 9254178005 |
| Practice Fax Number | 9254178881 |
| Mailing Telephone | 9254178005 |
| Mailing Fax Number | 9254178881 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2016-11-29 |
| Authorized Official Name | IDA L CORYELL HIRST (PHYSICAL THERAPIST/OWNER) |
| Authorized Official Telephone | 9254178005 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT13904 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | ZZZ16236Z | 01 |
| CA | PT LICENSE NUMBER | PT13904 | 01 |
| Street Address |
3908 VALLEY AVE STE B |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94566-4872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780075481 | Eugenia Rose Mccarthy | Physical Therapist | 3908 Valley Ave, Suite B, Pleasanton, CA 94566-4872 | 2015-02-17 |
| 1962812818 | Lisa Herrera | Physical Therapist | 3908 Valley Ave, Suite B, Pleasanton, CA 94566-4872 | 2014-04-30 |
| 1992053201 | Caitlin Margaret Cooper | Physical Therapist | 3908 Valley Ave, Ste. B, Pleasanton, CA 94566-4872 | 2012-08-16 |
| 1447557277 | Giorgia Hannelore Hoyer-fisher | Physical Therapist | 3908 Valley Ave, Ste B, Pleasanton, CA 94566-4872 | 2011-02-14 |
| 1912201484 | Monica Marie Carrazco | Physical Therapist | 3908 Valley Ave, Ste. B, Pleasanton, CA 94566-4872 | 2010-12-27 |
| 1801197751 | Christine Ann Flinn | Physical Therapist | 3908 Valley Ave, Ste. B, Pleasanton, CA 94566-4872 | 2010-11-09 |
| 1841590304 | Esther Mijung Shin | Physical Therapist | 3908 Valley Ave, Ste B, Pleasanton, CA 94566-4872 | 2010-10-29 |
| 1194876839 | Ida L Coryell Hirst | Physical Therapist | 3908 Valley Ave, Ste. B, Pleasanton, CA 94566-4872 | 2007-01-16 |
| 1629129838 | Karen Lynn Loughrige | Physical Therapist | 3908 Valley Ave, Ste. B, Pleasanton, CA 94566-4872 | 2007-01-15 |
| 1700937935 | Stephen George | Physical Therapist | 3908 Valley Ave, Ste. B, Pleasanton, CA 94566-4872 | 2007-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558868836 | Ngoc Bich Nguyen | Pharmacist | 1763 Santa Rita Road, Pleasanton, CA 94566 | 2018-04-12 |
| 1225556467 | Maureen Mclaughlin | Psychologist | 739 Main Street, Suite A, Pleasanton, CA 94566 | 2017-09-08 |
| 1558884379 | Michael Robles | Chiropractor | 4133 Mohr Ave Ste I, Pleasanton, CA 94566 | 2017-07-24 |
| 1558817353 | Jordan David Washington | Physical Therapist | 3908 Valley Avenur, Suite B, Pleasanton, CA 94566 | 2016-08-31 |
| 1912359449 | Prorehab Healthcare Group of Companies | Home Health | 4725 First St. Suite 274, Pleasanton, CA 94566 | 2016-07-08 |
| 1093179095 | Cielo House Inc | Clinic/Center | 1056 Division St, Pleasanton, CA 94566 | 2016-04-06 |
| 1154795938 | Arley Fong | Marriage & Family Therapist | 4456 Black Ave Ste 200, Pleasanton, CA 94566 | 2015-11-17 |
| 1770953036 | Lindsay Meyer | Psychologist | 4451 Valley Aveneue, E, Pleasanton, CA 94566 | 2015-09-30 |
| 1902239494 | Irfan Akbar | Marriage & Family Therapist | 1181 Santa Rita Rd, 216, Pleasanton, CA 94566 | 2013-08-20 |
| 1316291842 | Dhaval Patel and Amardeep Gill Dental Corporation | Dentist | 6766 Bernal Ave Suite 560, Pleasanton, CA 94566 | 2012-11-06 |
| Find all providers in zip 94566 | ||||
| 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 |
|---|---|---|---|---|
| 1689282899 | Misha Trotter Lind | Physical Therapist | 6700 Koll Center Pkwy Ste 320, Pleasanton, CA 94566-7032 | 2020-07-14 |
| 1780232736 | Marianne Christine Gibson | Physical Therapist | 2395 Bay Meadows Cir, Pleasanton, CA 94566-5436 | 2019-09-03 |
| 1710496039 | Sucheeta Shantikumar Merchant | Physical Therapist | 7555 Homewood Ct, Pleasanton, CA 94588-3666 | 2017-09-29 |
| 1558817353 | Jordan David Washington | Physical Therapist | 3908 Valley Avenur, Suite B, Pleasanton, CA 94566 | 2016-08-31 |
| 1619338456 | Krupa Umakant Trivedi | Physical Therapist | 3030 Camino Del Cino, Pleasanton, CA 94566-8641 | 2016-03-07 |
| 1407278153 | Tina Morandi | Physical Therapist | 4309 Hacienda Dr Ste 440, Pleasanton, CA 94588-2746 | 2014-01-15 |
| 1255764015 | Iris Alexandra Warchall | Physical Therapist | 3908 Valley Ave Ste B, Pleasanton, CA 94566-4872 | 2013-08-15 |
| 1598026411 | Melissa Ann Thurston | Physical Therapist | 2706 Corte Vera Cruz, Pleasanton, CA 94566-5792 | 2012-06-07 |
| 1457610677 | David G Turner | Physical Therapist | 3128 Santa Rita Rd Ste B, Pleasanton, CA 94566-8300 | 2012-05-08 |
| 1316226293 | Dharni Jenil Nathwani | Physical Therapist | 4456 Black Avenue, Suite 150, Pleasanton, CA 94566-9456 | 2011-08-10 |
| Find all providers in PLEASANTON | ||||
| City | PLEASANTON |
| Zip Code | 94566 |
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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.