ANDREW COTHAM PHYSICAL THERAPY P.C. (NPI# 1003163775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003163775 |
| Entity Type | Organization |
| Organization Name | ANDREW COTHAM PHYSICAL THERAPY P.C. |
| Other Organization Name | OUTBACK REHAB INC |
| Practice Address |
50 Alessandro Pl Suite A40 Pasadena CA 91105-3149 |
| Mailing Address |
3311 California Ave El Monte CA 91731-3133 |
| Practice Telephone | 3234011935 |
| Mailing Telephone | 3234011935 |
| Enumeration Date | 2012-08-12 |
| Last Update Date | 2012-08-12 |
| Authorized Official Name | MR. ANDREW COTHAM (PREIDENT/CEO) |
| Authorized Official Telephone | 3234011935 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Outback Rehab Inc | Doing Business As Name - Organization |
| Street Address |
50 ALESSANDRO PL SUITE A40 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839768 | Robert-jayson Communications | Audiologist | 50 Alessandro Pl, Suite 230, Pasadena, CA 91105-3149 | 2005-05-27 |
| 1205369006 | Pasadena Infectious Diseases and Tropical Medicine Inc | Internal Medicine | 50 Alessandro Pl, Suite 360, Pasadena, CA 91105-3149 | 2017-04-07 |
| 1679934368 | Adeeb Kidney Care Inc | Internal Medicine | 50 Alessandro Pl, Ste 140, Pasadena, CA 91105-3149 | 2016-03-09 |
| 1659777944 | David Girard | Psychiatry & Neurology | 50 Alessandro Pl, Pasadena, CA 91105 | 2014-11-13 |
| 1023368891 | Andrew Cotham | Physical Therapist | 50 Alessandro Pl, Suite A40, Pasadena, CA 91105-3149 | 2012-09-19 |
| 1043515877 | Holly Wang Md Inc | Pediatrics | 50 Alessandro Pl, Suite 200, Pasadena, CA 91105-3149 | 2011-01-26 |
| 1184938359 | Brian Lugo, M.d., Medical Corp | Surgery | 50 Alessandro Pl, Suite 340, Pasadena, CA 91105-3149 | 2010-07-29 |
| 1376732057 | Julie Ting-yu Yang | Internal Medicine | 50 Alessandro Pl, Suite 410, Pasadena, CA 91105-3149 | 2007-10-18 |
| 1881884013 | Paul Mcandrews, M.d., Inc. | Specialist | 50 Alessandro Pl, Suite 115, Pasadena, CA 91105-3149 | 2007-07-25 |
| 1841496163 | Pasadena Id, Inc. | Internal Medicine | 50 Alessandro Pl, Suite 360, Pasadena, CA 91105-3149 | 2007-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912521642 | Rose Bowl Aquatics Center | Clinic/Center | 360 N Arroyo Blvd, Pasadena, CA 91103-3201 | 2020-05-28 |
| 1215594981 | Aim Physical Therapy, Inc. | Clinic/Center | 1021 E Walnut St Ste 101, Pasadena, CA 91106-1479 | 2019-05-28 |
| 1558874719 | Julia Hayes | Clinic/Center | 180 S Madison Ave Apt 4, Pasadena, CA 91101-2573 | 2017-11-09 |
| 1669787495 | Arroyo Physical Therapy | Clinic/Center | 1720 E Washington Blvd, 208, Pasadena, CA 91104-2779 | 2010-08-17 |
| 1619122819 | Kimberly J. Bozart, Physical Therapy, A Professional Corporation | Clinic/Center | 345 S Lake Ave, Suite 201, Pasadena, CA 91101-5030 | 2008-12-02 |
| 1417111873 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 177 E Colorado Blvd, Pasadena, CA 91105-1936 | 2008-07-15 |
| 1033395405 | Select Physical Therapy Holdings Inc | Clinic/Center | 301 N Lake Ave, Suite 201, Pasadena, CA 91101-4107 | 2008-01-16 |
| 1386827384 | Therapy Right | Clinic/Center | 615 Harris Ave, Pasadena, TX 77506-3114 | 2007-12-12 |
| 1588865877 | Perry Health & Rehabilitation PC | Clinic/Center | 1001 Fairmont Pkwy Ste L, Pasadena, TX 77504-2970 | 2007-05-31 |
| 1427163237 | Puno Physical Therapy Services, Inc | Clinic/Center | 750 E Green St, 308, Pasadena, CA 91101-2120 | 2006-08-20 |
| Find all providers in PASADENA | ||||
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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.