| Ida L Coryell Hirst | |
|
3908 Valley Ave, Ste B, Pleasanton, CA 94566-4872 | |
| (925) 417-8005 | |
| (925) 417-8881 |
| Full Name | Ida L Coryell Hirst |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3908 Valley Ave, Pleasanton, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861494031 | NPI | - | NPPES |
| ZZZ16236Z | Other | CA | MEDICARE PTAN |
| PT13904 | Other | CA | PT LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT13904 (California) | Primary |
| Provider Name | Jennifer L Freitas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669592978 PECOS PAC ID: 2264531433 Enrollment ID: I20070628000628 |
| Provider Name | Ida L Coryell Hirst |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194876839 PECOS PAC ID: 3577539212 Enrollment ID: I20111205000082 |
| Provider Name | Michael Petrak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942235684 PECOS PAC ID: 4486814837 Enrollment ID: I20120322000457 |
| Provider Name | Shabeeba Shafi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447597323 PECOS PAC ID: 9537399845 Enrollment ID: I20170410001193 |
| Provider Name | Shahrin Ahmad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972070555 PECOS PAC ID: 9234477167 Enrollment ID: I20190219000459 |
| Provider Name | Ankita Harsh Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922641711 PECOS PAC ID: 8527480961 Enrollment ID: I20200612000720 |
| Provider Name | Haining Su |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043987563 PECOS PAC ID: 9234529355 Enrollment ID: I20211203002513 |
| Provider Name | Kathrina May Basa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124748272 PECOS PAC ID: 0042696874 Enrollment ID: I20221003001301 |
| Mailing Address | Practice Location Address |
|---|---|
| Ida L Coryell Hirst 3908 Valley Ave, Ste B, Pleasanton, CA 94566-4872 Ph: (925) 417-8005 | Ida L Coryell Hirst 3908 Valley Ave, Ste B, Pleasanton, CA 94566-4872 Ph: (925) 417-8005 |
Agility Neuro Physical Therapy And Wellness Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6668 Owens Dr Fl 2, Pleasanton, CA 94588 Phone: 925-460-7220 | |
Adriana Beacon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5720 Stoneridge Mall Rd, Suite 390, Pleasanton, CA 94588 Phone: 925-847-5366 | |
Ankita Dubey, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5980 Stoneridge Dr Ste 100, Pleasanton, CA 94588 Phone: 847-925-8833 | |
Jodi Nakawatase, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5555 W Las Positas Blvd, Pleasanton, CA 94588 Phone: 925-416-3840 | |
Kathrinamay Basa, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3908 Valley Ave Ste B, Pleasanton, CA 94566 Phone: 925-417-8005 Fax: 925-417-8881 | |
Bg Medical, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 239 Main St Ste B, Pleasanton, CA 94566 Phone: 415-847-7147 | |
Neethu Moosariparambil Joseph, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4456 Black Ave Ste 150, Pleasanton, CA 94566 Phone: 925-967-6059 |