| Dr Adam Thaddeus Coughlan, DPT | |
|
12490 W Fielding Cir Apt 174, Playa Vista, CA 90094-3024 | |
| (424) 216-7239 | |
| Not Available |
| Full Name | Dr Adam Thaddeus Coughlan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 12490 W Fielding Cir Apt 174, Playa Vista, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861117749 | NPI | - | NPPES |
| 301863 | Other | CA | PHYSICAL THERAPY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 301863 (California) | Primary |
| Provider Name | Jha Geriatric Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1902403041 PECOS PAC ID: 2062321151 Enrollment ID: O20210413002226 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Adam Thaddeus Coughlan, DPT 7150 Tampa Ave, Reseda, CA 91335-3700 Ph: (818) 757-4447 | Dr Adam Thaddeus Coughlan, DPT 12490 W Fielding Cir Apt 174, Playa Vista, CA 90094-3024 Ph: (424) 216-7239 |
Aaron Michael Willis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13163 Fountain Park Dr, Suite A, Playa Vista, CA 90094 Phone: 310-823-2220 Fax: 310-823-2636 | |
Terry Chu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13163 Fountain Park Dr, Suite A, Playa Vista, CA 90094 Phone: 310-823-2220 | |
Hannah Rable, PT, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12746 W Jefferson Blvd, Playa Vista, CA 90094 Phone: 424-246-9594 |