Ida L Coryell Hirst
NPI 1861494031ActiveOrganization· Physical Therapist· Pleasanton, CA
Physical Therapist in Pleasanton, California, registered in NPPES in June 2005. The authorized official on file is Ida L. Coryell Hirst, PT, Physical Therapist/Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1861494031 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 1, 2005 |
| Last updated in NPPES | Nov 29, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT13904 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (CA) |
|---|
Other Physical Therapist providers in Pleasanton
- 1487350831
- 1841057221
- 1144945544
- 1376529099
- 1306961305
- 1790655280
- 1336295138
- 1609109412
- 1144787946
- 1427130954
- 1205947454
- 1417068669