IDA L CORYELL HIRST
NPI 1861494031
Physical Therapist in Pleasanton, CA

Active since June 01, 2005
3908 VALLEY AVE, STE B, PLEASANTON, CA 94566(925) 417-8005(925) 417-8881 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ida L Coryell Hirst NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDA L CORYELL HIRST (NPI 1861494031) is a healthcare organization registered as a physical therapist in Pleasanton, California and active in the NPI registry since June 2005. The organization lists Ida L Coryell Hirst, Physical Therapist/owner, as its authorized official.

NPPES Registry Identity

NPI1861494031
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameIDA L CORYELL HIRST
Location Address3908 VALLEY AVE, STE BPleasanton, CA 94566-4872
Mailing Address3908 Valley Ave, Ste BPleasanton, CA 94566-4872 · (925) 417-8005 · Fax (925) 417-8881
Fax(925) 417-8881
Organization SubpartNo
Authorized OfficialIda L Coryell HirstPhysical Therapist/owner · (925) 417-8005
Enumeration DateJune 1, 2005
Last NPPES UpdateNovember 29, 2016
✔ NPI 1861494031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · PT13904
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3908 VALLEY AVE, Pleasanton, CA 94566

Other Identifiers 2

OtherPT13904CA · Pt License Number
OtherZZZ16236ZCA · Medicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ida L Coryell Hirst is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Ida L Coryell Hirst, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Physical Therapist in Private Practice
NPI 1346183118
3908 VALLEY AVE STE B
Pleasanton, CA 94566
(925) 397-3395
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1124748272
3908 VALLEY AVE STE B
Pleasanton, CA 94566
(925) 417-8005
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1194876839
3908 VALLEY AVE STE. B
Pleasanton, CA 94566
(925) 417-8005
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1669592978
6635 DUBLIN BLVD STE E
Dublin, CA 94568
(925) 803-0530
✔ Accepts Medicare3.2 mi
Physical Therapist in Private Practice
NPI 1942235684
7090 JOHNSON DR
Pleasanton, CA 94588
(925) 227-8555
✔ Accepts Medicare3.3 mi
Physical Therapist in Private Practice
NPI 1972070555
39210 STATE ST STE 202
Fremont, CA 94538
(510) 790-9480
✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1922641711
20996 REDWOOD RD
Castro Valley, CA 94546
(510) 537-0272
✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1043987563
1640 NEWPORT BLVD STE 260
Costa Mesa, CA 92627
(949) 335-7967
✔ Accepts Medicare356 mi
Physical Therapist in Private Practice
NPI 1447597323
815 SE KLEMGARD ST
Pullman, WA 99163
(509) 334-9488
✔ Accepts Medicare669 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ida L Coryell Hirst's NPI number?

The NPI number for Ida L Coryell Hirst is 1861494031. It was assigned to this organization in the NPPES registry on June 1, 2005.

Where is Ida L Coryell Hirst located?

Ida L Coryell Hirst is located at 3908 Valley Ave Ste B, Pleasanton, CA 94566. The listed phone number is (925) 417-8005.

What is Ida L Coryell Hirst's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Ida L Coryell Hirst enrolled in Medicare?

Yes. Ida L Coryell Hirst is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ida L Coryell Hirst?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Ida L Coryell Hirst. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ida L Coryell Hirst was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.