DR. SHANNON E COUGHLIN (NPI# 1194121319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194121319 |
| Entity Type | Individual |
| Full Name | DR. SHANNON E COUGHLIN |
| Credential | PT, DPT |
| Practice Address |
12023 Goshen Ave Apt 1 Los Angeles CA 90049-6316 |
| Practice Telephone | 4015736784 |
| Enumeration Date | 2014-11-16 |
| Last Update Date | 2014-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
41567 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790290328 | Shannon Coughlin | Social Worker | 2075 Scottsville Rd, Rochester, NY 14623-2021 | 2017-12-05 |
| Street Address |
12023 GOSHEN AVE APT 1 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90049-6316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564339 | Kepp Family & Group Practice | Marriage & Family Therapist | 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 | 2020-06-26 |
| 1386204493 | Steven J Lehrman | Marriage & Family Therapist | 179 S. Barrington Place, Office A, Los Angeles, CA 90049 | 2019-06-20 |
| 1922562990 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 860 S. Sepulveda Blvd., Los Angeles, CA 90049 | 2019-01-24 |
| 1851864946 | Christie Schnur | Marriage & Family Therapist | 11911 San Vicente Blvd., Los Angeles, CA 90049 | 2019-01-10 |
| 1669954012 | Barbara Jiji Schenk | Marriage & Family Therapist | 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 | 2018-09-02 |
| 1972090710 | Community Reflections Inc | Counselor | 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 | 2018-04-17 |
| 1245738830 | Dr. Shirin Tabib LLC | Marriage & Family Therapist | 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 | 2018-01-29 |
| 1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
| 1598286478 | Marvin S Serrano | Physical Therapy Assistant | 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 | 2017-06-30 |
| 1972055812 | Evolve Growth Initiatives, LLC | Psychiatric Residential Treatment Facility | 820 Moraga Drive, Los Angeles, CA 90049 | 2016-10-26 |
| Find all providers in zip 90049 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780119032 | Natalia Love | Physical Therapist | 11747 W Sunset Blvd, Apt. 218, Los Angeles, CA 90049-2964 | 2017-04-25 |
| 1174827778 | Debra Kray | Physical Therapist | 11110 Ohio Ave Ste 206, Los Angeles, CA 90025-6349 | 2010-12-22 |
| 1780909762 | Natalia Pokras | Physical Therapist | 2211 Corinth Ave Ste 200, Los Angeles, CA 90064-1621 | 2010-04-01 |
| 1649509803 | Shelby Forn | Physical Therapist | 3301 Tareco Dr, Los Angeles, CA 90068-1527 | 2009-12-17 |
| 1558480830 | Sharon P Silver | Physical Therapist | 9407 Cresta Dr, Los Angeles, CA 90035-4120 | 2007-03-28 |
| 1316569718 | Christina Marie Del Carmen | Physical Therapist | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2020-05-08 |
| 1487280756 | Danielle Januszyk | Physical Therapist | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-03-19 |
| 1972143923 | Bloom Pediatrics | Physical Therapist | 1523 Wellesley Ave, Los Angeles, CA 90025-3629 | 2020-01-07 |
| 1104389873 | Ellen Sarah Kromnick | Physical Therapist | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2019-04-10 |
| 1780140848 | Lily Alexandra Bollinger | Physical Therapist | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2019-02-13 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90049 |
Please comment or provide details below to improve the information on DR. SHANNON E COUGHLIN.
| 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.