Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ida L Coryell Hirst, PT

Individual provider Physical Therapist · NPI 1194876839

Ida L Coryell Hirst, PT is a Physical Therapist in Private Practice in Pleasanton, California. Qualified in 1986, 40 years ago. Practices with Ida L Coryell Hirst, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
40
Licensed in
CA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3908 Valley Ave Ste B
Pleasanton, CA 94566-4872
Phone: (925) 417-8005
Fax: (925) 417-8881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT13904 (CA)

Record details

NPI number1194876839
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedJanuary 16, 2007
Last updated in NPPESNovember 29, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Ida L Coryell Hirst — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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