Dr Adam Thaddeus Coughlan, DPT | |
12490 W Fielding Cir Apt 174, Playa Vista, CA 90094-3024 | |
(424) 216-7239 | |
Not Available |
Full Name | Dr Adam Thaddeus Coughlan |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 12490 W Fielding Cir Apt 174, Playa Vista, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861117749 | NPI | - | NPPES |
301863 | Other | CA | PHYSICAL THERAPY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 301863 (California) | Primary |
Provider Name | Jha Geriatric Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1902403041 PECOS PAC ID: 2062321151 Enrollment ID: O20210413002226 |
Mailing Address | Practice Location Address |
---|---|
Dr Adam Thaddeus Coughlan, DPT 7150 Tampa Ave, Reseda, CA 91335-3700 Ph: (818) 757-4447 | Dr Adam Thaddeus Coughlan, DPT 12490 W Fielding Cir Apt 174, Playa Vista, CA 90094-3024 Ph: (424) 216-7239 |
Aaron Michael Willis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13163 Fountain Park Dr, Suite A, Playa Vista, CA 90094 Phone: 310-823-2220 Fax: 310-823-2636 | |
Terry Chu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13163 Fountain Park Dr, Suite A, Playa Vista, CA 90094 Phone: 310-823-2220 |