GARY COGHLAN (NPI# 1124554274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124554274 |
| Entity Type | Individual |
| Full Name | GARY COGHLAN |
| Practice Address |
1717 Quincey Ln Fairfield CA 94534-2936 |
| Practice Telephone | 7073445350 |
| Mailing Telephone | 7073445350 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | AT2891 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1717 QUINCEY LN |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94534-2936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
| 1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
| 1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
| 1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
| Find all providers in zip 94534 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1184195174 | Rody Wiley | Physical Therapy Assistant | 375a W Us Highway 84, Fairfield, TX 75840-1411 | 2018-12-17 |
| 1649625542 | Emily Pilcher | Physical Therapy Assistant | 2534 Glasgow Rd, Fairfield, IA 52556-8543 | 2016-04-28 |
| 1821450669 | Pollie Enguillado | Physical Therapy Assistant | 1214 Shoreline Cir, Fairfield, CA 94533-7036 | 2016-03-22 |
| 1568858447 | Jacqueline Sierchio | Physical Therapy Assistant | 43 Big Piece Rd, Fairfield, NJ 07004-1107 | 2015-04-08 |
| 1275964686 | Donna J Besick | Physical Therapy Assistant | 2000 S. Main St., Fairfield, IA 52556 | 2013-12-11 |
| 1205276441 | Jeremy Lee Garlick | Physical Therapy Assistant | 49 Chaucer Ln, Fairfield, CA 94533-6545 | 2013-07-02 |
| 1730414194 | Tonya Michelle Conrad | Physical Therapy Assistant | 505 W Woodland Dr, Fairfield, IL 62837-1059 | 2009-10-02 |
| 1043469786 | Dana Lynn Gilbert | Physical Therapy Assistant | Rr 3 Box 322, Fairfield, IL 62837-9517 | 2008-09-18 |
| 1689866188 | Darlene Cioppa | Physical Therapy Assistant | 75 Kings Highway Cutoff Ofc 4, Fairfield, CT 06824-5340 | 2007-08-17 |
| 1588856074 | Kathryn Kelley | Physical Therapy Assistant | 75 Kings Highway Cutoff Ofc 4th, Fairfield, CT 06824-5340 | 2007-08-17 |
| Find all providers in FAIRFIELD | ||||
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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.