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PROGRESS NOTES
INSIDE THIS EDITIONMission Statement.......................................................... 1
New Physical Therapists ............................................... 2
Continuing Competency ................................................ 9
New Physical Therapist Assistants ........................... 10
Disciplinary Actions .....................................................14
MISSION STATEMENTThe mission of the Physical Therapy Board of California is to advance and protect the interests of the people of California by the effective administration of the Physical Therapy Practice Act.
SEPTEMBER 2016–MARCH 2017PHYS ICAL THERAPY BOARD OF CALI FORN IA
2 P H Y S I C A L T H E R A P Y B O A R D O F C A L I F O R N I A
NEW PHYSICAL THERAPISTS | SEPTEMBER 2016-MARCH 2017
Congratulations to our newly licensed physical therapists!
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
BAINS, RAJAN SINGH 292697
BAKER, TIMOTHY JOSEPH 292864
BALDWIN, SHAUN THOMAS 292573
BALOG, VINCENT ANTHONY 292332
BARAAN, ANTHONY FONTELERA 292856
BARBER, ALAINA 292490
BARNES, CHARLES DAVID 292804
BARR, NATHAN 292824
BARRETT, AMANDA ELIZABETH 292438
BARRETT, ANNA CHRISTINE 292439
BARTEK, DALE 292727
BARTGES, PETER GREGORY 292625
BARTOLOME, BENJAMIN JOSHUA 292167
BARTOLOMEI, BRITTANY 292684
BARTSCH, ANGELA 292114
BASCONCILLO, BRANDON JUSTIN 292877
BASRAI, ZAHABIA TAIKHUM 292656
BASSETT, NICOLE MARIE 292334
BATES, ANNIE ELIZABETH 292444
BAUDER, JACOB JAMES 292110
BAUMGARDNER, BENJAMIN R 292519
BAZAN-WIGLE, JENNIFER K 292895
BEARD, ROSSLYN KAMILLE 292728
BECKMAN, NOAH ALEXANDER 292674
BELL, KEVIN SCOTT 292104
BENGGON, SEAN KRISTIAN 292629
BENNETT, SEAN JOSEPH 292221
BENSON, DUSTIN MICHAEL 292430
BERGMAN, ANDREW RYAN 292688
BERNAL, KAITLYNN CHIYE 292318
BERRY, RACHEL ELIZABETH 292078
BHANUSHALI, PRANAV PURUSHOTTAMBHAI 292188
BIESSMANN, MAX ROBERT 292512
BLACKBURN, RACHEL ELIZABETH 292623
BLAU, REBECCA SUZANNE 292891
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
BLEVINS, JENNIFER ANN 292700
BLOCH, AMANDA LORYN 292621
BOCTOR, MARENA R 292549
BOHARA, LINDA ELIZABETH 292543
BOO, MARIE ELIZABETH 292142
BORAM, JESSICA 292390
BORSODY, LISA MARY FREEMAN 292205
BOUCHER, CHARLEEN RITA 292463
BOUDRO, NOELLE CHRISTINA 292341
BOULANGER, SEAN MARCEL 292343
BOWLING, WILLIAM RANDOLPH 292480
BRICK, DAVID JOSEF 292344
BRIDGES, JAROM THOMAS 292123
BRITO, GARY A 292729
BROMLEY, CALEB WOLFINGER 292245
BROWN, JACQUELYN HOPE 292719
BROWN, KAI SEBASTIAN 292612
BROWN, KEVIN WILLIAM 292196
BROWN, MARY ELIZABETH 292511
BROWN, TIMOTHY EGERTON 292662
BRUNNER, LINDSAY ROSE 292730
BRUTOCAO-KEMP, DAVID 292120
BRYM, BRANDON MATTHEW 292835
BUAN, WARREN SONGCO 292087
BUCHHOLZ, NICHOLAS DONALD 292057
BUCK, WILLIAM FREDERICK 292567
BUI, JULIEN THE TAI 292345
BUI, KIMLEE QUANG 292827
BUKOVSKY, DESIREE BLAIRE 292244
BUMANGLAG, VIENA GALLARDO 292601
BURKE, DANIEL ALEXANDER 292303
BURKE, MADISON MACKENZIE 292582
BURLAKOVSKY, NATHAN PINCUS 292923
BURT, JONATHON 292731
BUSENBARK, CHERIE MARIE 292721
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
ABARCA, JOHN DAVE ROSAL 292248
ABEDI, ITAMARA AREAL 292871
ABOUZEDAN, ROMI 292808
ABRAHAMS, HYUN-MI BROOKE 292876
ABSALON, ELENA NICOLE 292056
ACKERMAN, SHARON 292518
ADAMS, BRIAN JAMES 292305
ADAMS, LINDSEY RAY 292316
ADAMS, SHELBY LYN 292195
ADEWOLE, HAMEED ADEBOLA 292528
AHLUWALIA, AMANDEEP KAUR 292911
AHN, TONY JAE 292466
AJIFOWOBAJE, OLUWASEUN OLUFEMI 292578
AKBAR, KATIE SHAKIRA 292514
AL-AMIR, MELANIE MARY 292483
ALBERT, THOMAS NEWELL 292312
ALEGRIA, ANDRES FERNANDO DELGADO 292091
ALLEN, KATELYNN ROSE 292484
ALONZO, PHILIP BYRON 292544
ANDERSEN, SUSAN MARIE 292852
ANDERSON, MICHAEL ROY 292198
ANDERSON, NICOLE ANNA 292726
ANDERSSON, KARIN BRITTA 292327
ANDREWS, JOSHUA ZACHARY 292563
ARRIOLA, TERESA GICEL 292564
ASHEIM, TAMARA LEA 292834
ATWAL, BIPAN SINGH 292481
AVINGER, TIFFANY ENGLE 292243
AYERS, WILLIAM MICHAEL 292226
AYUBAN, ERWYN PIERRE RODRIGUEZA 292677
AZOLAS, TAMMIE LYNN 292175
BABARIA, DIPALEE VISHESH 292460
BACHMAN, ELEANOR MARTHA 292107
BACZEWSKI, BONNIE MICHELLE 292915
BAGLEY, JAKE WOOD PUTNAM 292658
P R O G R E S S N O T E S S E P T E M B E R 2 0 1 6 - M A R C H 2 0 17 3
NEW PHYSICAL THERAPISTS | SEPTEMBER 2016-MARCH 2017
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
BUSFIELD, AMY LYN 292224
CALIVA, DYLAN SAMUAL 292149
CALIVA, RACHEL ELIZABETH 292148
CAMPBELL, LAUREN CATHERINE 292491
CAMPBELL, LINDSY BRIANN 292147
CANCIENNE, ANNA MARIE 292314
CANCIENNE, JONATHAN JOSEPH 292315
CAPELLA, EMILY KATHRYN 292208
CARPIO, EMELY 292348
CARRASQUILLO, ANTHONY M 292146
CARREON, MATTHEW JANJAN 292647
CARTIAUX, CANDICE JOLINE 292906
CARY, CHELSEA REYNOLDS 292575
CASANADA, GUILLERMO DELGADO 292121
CASTILLO, MIRA ECILA VILLAMARZO 292616
CASTRO-LARSEN, RICHIA CHRISTINE 292732
CAVALLETTO, CERRA MICHELLE 292733
CAVANAGH, JORDON MICHAEL 292247
CERONE, MATTHEW JAMES 292112
CHA, JANE 292432
CHALLENGER-SMITH, CHARLENE ROSE 292713
CHAN, ALEX FRANCO 292070
CHAN, ELAINE 292075
CHAN, KEVIN 292200
CHANG, LAWRENCE WEI 292546
CHAPMAN, DANIEL ADAM 292706
CHARACH, ARON 292867
CHASE, LARA CHRISTINE 292238
CHAVARRIA, JESSICA STEMLER 292351
CHELO, KARA LYN 292836
CHEN, DANIEL YIH-AN 292355
CHEN, I-CHUN 292026
CHEN, JEFFREY 292541
CHEN, STEPHEN XIYU 292734
CHEN, WAH WAH MAUNG 292851
CHERR, SARA E 292063
CHEVALIER, DOMINIC LEE 292433
CHIANG, RACHEL JO 292485
CHIAO, KO 292812
CHILSON, KELLY MARIE 292653
CHING, KAREN 292735
CHIU, JONATHAN VINCENT 292058
CHOI, KEVIN KOK-SEIN 292357
CHOUBAL, MITALEE SUSHEEL 292646
CHOW, ERNEST 292076
CHRISCO, KASSANDRA DIDI 292736
CHUA, BELSTEN LIM 292190
CHUA, JUSTIN ERIC DYCHINGCO 292817
CHUN, KAREN CHAN HEE 292737
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
CHUNG, CURTIS LEE 292738
CLARK, BLAIR RENEE 292446
CLEVY, JORDAN MICHAEL 292889
COFIELD, CARMEN SHANTE 292052
COLES, KELSEY MICHELLE 292125
COLLAZO, XAVIER A. 292550
COMEFORD, ASHLEY NICHOLE 292579
CONNELL, MARK DANIEL 292361
CONSOLACION, SHEERENE ANN YAP 292240
CONTI, STEPHANIE ROSE 292878
CONTORNO, ASHLEY MARIE 292228
CONWAY, ALEX 292365
CONWAY, DANIELLE 292599
CONWAY, MARY LYNNE 292932
COOGAN, NICOLE ELIZABETH 292552
COOLEY, NATALIE NICOLLE 292492
COPELAND, ANGELA DIANE 292572
CORASANITI, CAROLINE MARIE 292652
CORBIN, KEITH MICHAEL MR. 292082
CORDOVA, CASSANDRA LA'RIE 292853
COSTA, LAURA CATHERINE 292064
COTIC, TOMISLAV MIJO 292888
COUSENS, CHRISTOPHER NORTON 292122
COVERDALE, ANDREA CLAIRE 292207
CRESPO, KIMBERLY RAE-COLLINS 292577
CRISTOBAL GALLARDO, LUIS ALBERTO 292596
CRITES, LAUREN CHRISTINE 292739
CROSBY, CARLA ANNA 292476
CROUCH, AARON JAMES 292369
CROWE, TAWNIE KEI 292246
CRULL, JOHNA MICHAELE 292707
CRUTCHFIELD, SCOTT BRUCE 292372
CSETE, KATHRYN JANE 292470
CUA, KIRSTIE ANN 292077
CUMMINGS, ASHLEY MARIE 292542
CUMMINGS, JULIE TERESE 292547
CUNNINGHAM, BYRON ANTHONY 292872
CUSHMAN, ALEXANDRA 292178
CUTTS, RACHEL RENEE 292626
CZAJKOWSKI, SARAH CHRISTINE 292896
DALEN, DARCY LEE 292093
DANDEKAR, APARNA A 292619
DANG, ERIC ANH 292174
DANNAWAY, MARISSA 292740
DAVID, MYCAH ARCILLA 292820
DAVIS, NICOLE FAYE 292373
DAVIS, ROBERT WAYNE 292069
DE FARIA, GABRIEL JOSE BARRETO 292374
DE LA ROSA, CHRISTOPHER 292916
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
DE MONTS DE SAVASSE, CONSTANCE MARIE 292699
DELISIO, NICOLE 292437
DELOS REYES, SHERYL O 292924
DELOZIER, ELIZABETH ROSE 292108
DENNIS, LORELEI NICOLE 292489
DEYOE, EMILY CELESTE 292493
DIAMOND, VANESSA MARIE 292614
DICKEY, JONATHAN THOMAS 292520
DICKSON, JULIE DIANE 292701
DIETLIN, LACEY NICOLE 292497
DIGGS, CHRISTINA DEJEAN 292165
DILEONARDO, LINDSEY NICOLE 292375
DINH, CHRISTINA 292065
DINH, KATHY NGUYEN 292027
DO VALE BRAVO, ALAN 292600
DOBBS, GABRIELLE 292162
DONADIO, HANNAH KATHERINE 292219
DONOVAN, MICHELLE LENNEA 292116
DORN, JUSTIN BRENT 292376
DOUGLAS, JESS HUNTER 292152
DOYLE, CYNTHIA LEE 292574
DUGAN, NATHAN JAMES 292897
DUMONT, KAYLA ANN 292449
DUNCAN, CHELSEA ANGELA 292113
DUPONT, MATTHEW RICHARD 292545
DURAIPANDIAN, GAYATHRI 292250
DURBIN, KAREN ELIZABETH 292673
DUVAL, DEVIN JOSEPH 292377
DYE, AARON JOEL 292050
DYKEMAN, ROBERT JAMES 292720
EASTMAN, ASHLEE HICKS 292023
EASTON, ALLISON ROSS 292378
EATON, MICHAEL THOMAS 292907
EBERT, RYAN JOSEPH 292150
ECKER, SARAH 292074
EDWARDS, ZACHARY 292079
EHRLICHMAN, DEVIN J 292128
EIBERGER, EMILY LOUISE 292591
ELBY, NICOLE MARIKO 292166
ELICH, SUZANNE B 292558
ELLINGTON, KRYSTLE JOY 292486
ELLIOT, SETH JAMES 292517
ENDO, JESSICA REIKO 292024
ENSNER, DAWN MICHELE 292870
ERB, JOHNATHAN ANTHONY 292379
ERORAHA, KESENA 292809
ESCAMILLA, LUIS ADREAN 292380
ESQUERRA, LUCAS 292741
ESTEVE, MATTHEW 292685
4 P H Y S I C A L T H E R A P Y B O A R D O F C A L I F O R N I A
NEW PHYSICAL THERAPISTS | SEPTEMBER 2016-MARCH 2017
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
FAJARDO, APRIL PASCO 292604
FANCHER, SEAN KYLE 292670
FARRAR, COURTNEY L 292062
FAST, CHRISTOPHER RUSSELL 292066
FEIGE, MICHELLE MEERA 292381
FEINGOLD, ANDREW CHARLES 292945
FERLITO, MARK ALEXANDER 292176
FERNANDEZ, CARLOS 292092
FERNANDEZ, JULIE MARIE 292164
FILLERUP, JOSEPH GUNNAR 292382
FINFROCK, TYLER 292742
FISHER, DANIELLE MARIE 292383
FISHER, THOMAS JAMES 292869
FLORES, KATIE ELIZABETH 292515
FORD, AMANDA 292934
FOREMAN, BRIANNA DOREEN 292392
FORSYTHE, TINA 292393
FORTE, CHELSEA LOUISE 292227
FOSTER, ERIN MARIE 292111
FOX, RACHEL ELIZABETH 292938
FRADKIN, KAREN 292931
FRANDSEN, DANE GARRET 292177
FREDRICKSON, JAMES MARK 292636
FREEL, LEAH CATHERINE 292559
FRENCH, JILLIAN K 292109
FROST, ERIKA LANA 292394
FUCCELLA, MEGHAN ANGELA 292395
FUROG, CHYRELL GUANCO 292814
GABAY, SARAH RIVKA 292396
GABREK, SAMUEL DAVID 292682
GALEONE, NICHOLAS ELLIOT 292171
GALIS, HOLLY DANAE 292569
GALLI, ELISABETH ALISA 292743
GALLOWAY, ANNA MARIE 292397
GARBALOSA, VICTOR OMAR 292947
GARBUTT, SHEANA ANN 292580
GARCIA, ERIC WILSON 292745
GARCIA, ERICA CHRISTINE 292080
GARCIA, MAYUMI GUADALUPE 292879
GARCIA, MIGUEL SALVADOR SABILE 292695
GARCIA, ROBERTO 292744
GARNER, STEPHEN DANIEL 292124
GAULKE, ASHLEIGH E 292746
GAVIN, CORBIN TAYLOR 292478
GAYFIELD, MCKENZIE ETTA 292173
GEE, ADAM 292053
GEE, AMY CHEL PHONG 292054
GEE, JASON FRANK 292398
GENE, AUSTIN KEITH 292548
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
GERBRACHT, JILLIAN FAITH 292237
GERE, RYAN 292399
GERSHKOVICH, MARIYA 292747
GHARIBI, ARBI 292748
GHASSEMIKIA, NIKA 292471
GHAZZOUL, NICOLAS ALEXANDER 292434
GIANG, OAI LONG 292400
GILBERTSON, KURT 292805
GILL, HEATHER ANN 292201
GILL, MICHAEL RICHARD 292220
GILLIS, ASHLY MARIE 292401
GINGRAS, SIMONE CATHERINE 292402
GOEKEN, CLARE ALISSA 292749
GOENKA, CHHAVI 292615
GONZALES, DAVID C 292403
GOODRICH, KRISTIN ELIZABETH 292472
GOOMER, APARNA 292249
GORDON, DAVID CHARLES 292722
GORDON, JASON HEATON 292750
GORDON, KRISTEN RACHELLE 292467
GOSLINGA, TYLER JAY 292404
GOZIAS, NATALIA 292223
GRAF, ALEXANDER STEVEN 292405
GRAF, CHRISTOPH 292686
GREELEY, CATHERINE LOUISE 292883
GRIFFIN, JORDAN BROOKE 292410
GRIFFIN, STEVEN MICHAEL 292083
GRILLO, ERIN ELIZABETH 292663
GRUBAUGH, JESSICA J 292055
GUERIN, ALYSIA ADELINE 292406
GUINEE, JONATHAN ROSS 292225
GUNARATNE, NATASHA RAE 292407
GUTIERREZ, JUSTINE ARIEL ABUDE 292482
HAGOOD, MARY CAROLINE 292696
HAI, ROBERT ANTHONY 292881
HAINES, ALYSSA ELLEN 292828
HAKANSON, LANTHAN WINFIELD 292408
HALAVIK, KYLE ANDREW 292687
HALDERMAN, IAN JOSEPH 292409
HAMILTON, HALEY 292071
HAMM, ELIZABETH ANN 292051
HAN, SYRA 292436
HANSEN, LAURA KATHERINE 292751
HANSEN, MICHAEL PAUL 292411
HAPKE, ELENA 292613
HARDIN, STACEY NICOLE 292115
HARRIS, PATRICK ROWLAND 292126
HARRISON, ALYSSA KATHRYN 292068
HARRISON, MATTHEW CHARLES 292218
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
HASHIM, CAMILA SABRI 292752
HASKELL, WENDY J 292258
HASTRUP, HEATHER ANN 292498
HATTON, NATHAN A 292753
HAUGER, EVAN CHARLES 292431
HAWKINS, JOSHUA JAY 292516
HAZLEHURST, KELSEA MCCREA 292412
HEFFERAN, ASHLEY ANN 292197
HEIMBIGNER, REBECCA LEILANI 292067
HEISER, DEREK BRENT 292495
HELLER, JOHN WESLEY 292465
HENNINGER, ANGELINA LEANORA 292090
HENNINGER, MATHEW RICHARD 292089
HENSON, BRITTANY LYNN 292413
HERNANDEZ, ALICIA LYN 292709
HERRERA, MICHAEL ANTHONY 292072
HERTZLER, KIRSTEN RENEE 292414
HESSON, MEGAN MICHELLE 292415
HEXTER, MICHAEL DAVID 292416
HIBDON, CODY LYNN 292551
HIDY, NATALIE LYNN 292419
HIGGINS, ALYSSA MARIE 292641
HILTON, ALICIA LYNN 292418
HINDLE, KAYLA BOMAN 292754
HIRANI, JAGRUTI RAMESHBHAI 292603
HIROTA, CARY TOMIO 292073
HO, JESSICA G 292917
HONG, KEVIN 292420
HRUSKA, LAUREN CHRISTINE 292206
HULISZ, ALEXANDER THOMAS 292755
HULISZ, RACHEL SANDERS 292180
HUNG, ERIN YUN-LOK 292565
HUNT, LAUREN MARIE 292421
HUTCHINSON, JESSICA ANNE 292903
HWU, CHRISTINE 292477
IANCU, TYRETEL ABIGAIL 292756
IGNACIO, PATRICIA YAPTANGCO 292422
INCLEDON, APRIL LOUISE 292496
INGRUM, ELIJAH JAMES 292757
INOUYE, RACHELE GONZALES 292442
INTERRANTE, CHRISTINE 292664
INTWALA, PANKITA CHINTANKUMAR 292811
IRR, MICHAEL FRANCIS 292561
ISTRIN, JORDAN STEPHEN 292560
ITO, MICHAEL MAKOTO 292464
IWASKIEWICZ, CHRISTINA ANNE 292061
IWATA, MELISSA DAWN 292487
IYER, SNEHAPRIYA VENKATRAMAN 292654
JACOBSON, PHILIP NATHAN 292630
P R O G R E S S N O T E S S E P T E M B E R 2 0 1 6 - M A R C H 2 0 17 5
NEW PHYSICAL THERAPISTS | SEPTEMBER 2016-MARCH 2017
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
JAKKULA, SHEEBA SUNITHA 292475
JAMALI, MOHAMMAD 292521
JANEWAY, CAITLIN RUTH 292170
JANGID, SMITA 292815
JARMUSZ, LAUREN ELIZABETH 292553
JEANFAVRE, MICHAEL ALAN 292172
JEON, DANIEL MYUNG HOON 292838
JIANG, CALVIN CHI KIN 292445
JOHNSON, ALLISON NICOLE 292592
JOHNSON, BRANDON SEAN MICHAEL 292423
JOHNSON, MARISA CANETA 292829
JOHNSON, SHAY A 292216
JOHNSTON, SEAN 292557
JONES, COLLEEN M 292313
JONES, CORTNEY PAIGE 292597
JOSEPH, DINCY GIGI 292819
JOYA, LAURA 292708
JUNDT, JENNIFER KRISTINE 292424
JUSKENAS, KATRINA STACEY FRANCES 292635
KACZMAR, RUSSELL 292758
KAISER, MEGAN RACHEL 292181
KALINA, KALEY 292583
KANG, KWANGYO 292759
KANG, MICHAEL 292473
KAPLAN, CHRISTOPHER CURGUS 292488
KAPLAN, JOSHUA IAN 292391
KARAS, MICHAEL JOHN 292760
KARIA, PAYAL VELJI 292618
KARLIK, ALLISON ELYSE NIKOLAI 292554
KARLIK, JEFFREY JAMES 292555
KASHIKAR, RADHIKA SHRIPAD 292617
KASSAR, JOANNA 292761
KATO, JAMISON KENICHI 292935
KATZ, DANIEL 292425
KATZ, JENNIFER LEAH 292435
KAUFFMANN, CALEB ALEXANDER 292119
KEATHLEY, KIMBERLY ANN 292762
KEGG, STACEY LEE 292127
KELLER, LISA MARIE 292689
KELLY, AMY JEAN 292153
KENNEDY, ASHLEY NICOLE 292081
KERBY, ELIZABETH ALICE 292643
KHIRASARIA, POOJA 292229
KHOSRAVIAN, DELNAZ 292702
KHUNT, NEETA BEN M 292204
KIERNAN, KRISTEN 292711
KILBURN, MATTHEW RYAN 292594
KILLEEN, AIMEE CHRISTINE 292937
KIM, ANGELICA EUNJU 292898
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
KIM, HERNAN 292059
KIM, JOSEPH 292933
KIM, MARK JOONG-PYOUNG 292426
KIM, YOON SEON 292427
KIMMINS, ERIN ANN 292948
KING, BRANDON MICHAEL 292145
KING, RYAN DAVID 292587
KIRAKOSYAN, HOVANES 292628
KIRLIN, LINDSAY ELIZABETH 292118
KLAWIN, SAMANTHA RAE 292151
KLEIN, CORNELIA 292469
KLEIN, MATTHEW MARSHALL 292428
KLINGER, MATT CHRISTOPHER 292556
KNAPP, CRYSTAL LYN 292857
KNUTSON, BRIAN 292668
KO, AMANDA 292194
KOHLER, AMY ELIZABETH 292665
KONNUR, DEEPA MAHESH 292525
KOPEC, EWA MARIA 292925
KOTH, CHRISTINE ANNETTE 292259
KOVAL, AMANDA JEAN 292060
KOVARIK, MEGAN JEAN 292179
KRAEMER, KATHERINE LYNN 292217
KRANZBERG, NICOLE MARIE 292858
KUKIS, KELLEY RENEE 292429
KUMAR, RANJANI 292939
KWON, BRYAN SUCKWON 292680
KYGER HENRY, ASHLEY 292088
LABRADA, MIGUEL ANGEL 292266
LABRECHE, ELENA ALVAREZ 292667
LAIRD, LINDSEY CHRISTINE 292787
LAM, EMMA HOI 292191
LAM, HILARY YOKO 292874
LAMAY, ELIZABETH ASHLEY 292085
LAO, JUSTIN 292593
LATTA, BRENTON OLSON 292532
LAU, SAMANTHA MUTSUKO KATAOKA 292763
LAUDER, WILLIAM GAVRIL 292764
LAUT, STEPHANIE NICOLE 292215
LAUW, SIDNEY AARON 292765
LAVALLE, MARISSA ANN 292267
LAWRENCE, RYAN O'CONNELL 292694
LAWVER, MITCHELL ALLAN 292655
LAZARD, REGINE MAXINE 292649
LEAHY, SHANNON KATHLEEN 292032
LEE, ALAN 292143
LEE, MICHELLE JISOO 292268
LEE, PETER YOUNG 292508
LEEDS, SHAUNA KAY 292132
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
LESAGE, LESLIE MARIE 292095
LEUFROY, PAULO ALEJANDRO 292637
LEWIS, TODD JOSEPH 292269
LI, HENRY 292270
LI, TERESA 292271
LIBERTINO, ARLIN COVERO 292847
LIEU, CAROL 292887
LIN, DANIEL 292723
LIN, JASON 292272
LIN, PATTIE HWA PEI 292562
LIN, ROBERT LIYUAN 292830
LIU, JI 292942
LIU, PETER 292766
LOCKE, TAYLOR JOHANNA 292340
LOPEZ, MONIQUE NICOLE 292274
LOPEZ, RAQUEL LISA 292273
LOPEZ, STEVIE 292899
LOPKER, MORGAN ELIZABETH 292210
LOSTRACCO, MARK 292944
LOUPY, BRYAN THOMAS 292275
LOVETT, DANIELLE LOUISE 292810
LUNA, DANIELLE MARIE 292506
LUNDY, MARLENE 292230
LUU, THAO-TIEN NGOC 292821
MA, NELSON KINGLAND 292570
MA, TOM KAKIN 292276
MACAULAY, JENNIFER RENEE 292277
MACKIN, ERIN 292908
MACPHERSON, CHELSEA ERIN 292155
MAGUIRE, KAITLIN MARIE 292767
MAHADESHWAR, ASHLESHA ARVIND 292848
MAKINDE, AKINWUNMI KOLADE 292865
MALDONADO, LUIS ANTONIO 292950
MALI, DEETI KAILASHKUMAR 292479
MALOOLY, MARY CLAIRE 292278
MANACHIAN, GARY GARBIS 292768
MANLIGUIS, CATHERINE BUSTAMANTE 292644
MAREZ, JORDAN 292769
MARIANO, ALDWIN JOHN ESTROSA 292845
MARINO, REBECCA LORRAINE 292133
MARQUEZ, ELIZABETH ELLIOT 292770
MARSDEN, TYLER 292675
MARTIN, CHRISTINA LOUISE 292642
MARTIN, JASMINE KEHAULANI 292279
MARTIN, KARALEE MARIE 292280
MARTIN, KEEGAN ANDREW 292918
MARTIN, LAUREN CHRISTINE 292859
MARTIN, MARIA KATHLEEN SANTOS 292139
MARTIN, SUZANNE BETH 292199
6 P H Y S I C A L T H E R A P Y B O A R D O F C A L I F O R N I A
NEW PHYSICAL THERAPISTS | SEPTEMBER 2016-MARCH 2017
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
MARTINEZ, CATHERINE ANNE 292358
MARTINEZ, DENISE 292771
MARTONE, RACHEL 292134
MASCARENAS, DYLAN ANDREW 292281
MASSUDA, JOEL MAURICE 292256
MATHEWS, TERYN NICOLE 292282
MATYASSE, LAURA BETH 292283
MAY, MICHAEL JOSEPH 292252
MAYNEZ, JENNIFER ELIZABETH 292772
MCADAMS, ALEXANDRA ARMSTRONG 292284
MCAFEE, SCOTT MICHAEL 292184
MCBRATNEY, RANCE 292584
MCGINNIS, MICAELA ANN 292285
MCGRATH, JENNIFER 292873
MCHARGUE, AMANDA LYNN 292666
MCLAUGHLIN, MICHAEL ARAPAN 292286
MCNEILL, VICKI SUE 292620
MCQUEENEY, SEAN MICHAEL 292028
MEEKS, BRADLEY 292936
MEHTA, JASMINE HARISH 292138
MEHTA, PALAK PRAGNESH 292926
MEHTA, POOJA PRATIK 292927
MEIER, ROBERT ADRIAN 292502
MELTON, JAMES LEE 292703
MENDOZA, TIANE MARIE 292773
MENTZER, JOSE MARI BLAS 292816
MESSIER, LIANNE ELIZABETH 292608
MEYER, SARAH ANNE 292774
MEYER, WADE ANTHONY 292156
MEZA NARANJO, MANUEL 292468
MEZZACAPPA, DILLON GREY 292503
MEZZACAPPA, ELIZABETH JEAN BLACK 292513
MICHAELS, JONATHAN GREGORY HARRIS 292287
MILANO, MARCO 292775
MILLER, MARIAH 292043
MINTZ, MARISSA NICOLE 292529
MISURACA, CODY ALEXANDER DISCO 292100
MODI, NIDHI ADITYA 292633
MOHAMED, YEHIA ABOUELYOUSR 292260
MOHENO, DANIEL PHILLIP 292440
MONPERE, CHRISTOPHER MATTHEW 292288
MONTAGUE, CHRISTINA ZMOLEK 292776
MONTGOMERY, BRITTANY JAI 292129
MONTGOMERY, REBECCA LYNNE 292289
MOONEYHAM, WILLIAM EDSON 292290
MORALES, MA AMPARO TRIAS 292047
MORRISON, SARAH ANN 292595
MOSKALA, CHRISTINA 292507
MULGAONKAR, SAILI UDAY 292660
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
MULLEN, RAYMOND 292456
MURAKAMI, MAE KIYOMI 292291
MURPHY, BOSCOTT WILLIAM 292882
MYERS, RACHEL ELISABETH 292292
NAJERA, ALISON RAE VILLAROSA 292301
NAMBA, ERICA KANNA 292837
NEGLIO, LINSEY YANG 292912
NEILS, BRIANNE THERESE 292094
NELSON, LYLE GARRETT 292263
NELSON, SARA ANN 292611
NEZHEVENKO, OLGA 292036
NGO, NOREEN PAULA TAN 292813
NGUYEN, CATHY THAI 292295
NGUYEN, JENNIFER MEGAN 292294
NGUYEN, MIA FRANCES 292590
NGUYEN, TRONG VAN 292293
NICHOL, EMILY 292890
NISHIKAWA, BRETT DAISAKU 292777
NNAJI, NNAEMEKA UZODINMA 292296
NOGUEIRA SANCHES, DRIELE 292168
NOLAN, BRIDGET MARIE 292778
NOLASCO, ANA MARGARITA USITA 292130
NOLL, JAMES 292914
NOONAN, DIANNA ELAINE 292182
NORRIS, CATHERINE LUCILE 292297
NURKOWSKI, CHRISTIE MICHELE 292255
OBERMAN, ALEXANDER LEIGH 292299
O'BRIEN, BRIDGET IRENE 292183
OBRIEN, TARA 292886
O'CONNOR, JAMIE ANNE 292298
OHNERSORGEN, ANDREW MICHAEL 292300
OIE, DANA MAE 292540
OJEMAYE, LUKACHUKWU FITZGERALD 292585
O'KRENT, ALYSSA DENISE 292157
OLIVEIRA, CHADWICK EUGENE 292033
OLIVER, CORIANNE ROSE 292538
OLMON, COLE 292037
ONEAL-GUERTIN, STEPHANIE ANNE 292588
ONO, JASMINE WOO RI 292780
OPDYKE, LINDSAY BURKE 292385
ORLANDO, ERIK 292692
ORLINA, IVY GRACE 292158
ORLOWSKI, NICOLE KATHRYN 292536
O'ROURKE, MEGAN 292779
OSWALD, STEVEN MICHAEL 292894
OWEN, BRANDEN 292533
OWENS, JADRIANE CHRISTINE 292222
PACADA, AIMEE SARINGO 292103
PAHUJA, SURBHI 292202
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
PALOMBA, BRIAN MICHAEL 292049
PAN, HAROLD HENROE 292842
PAPPAS, JOSEPH 292302
PARSELL, DEREK PAUL 292304
PASULA, SHALINI 292693
PATEL, CHINMAY M 292678
PATEL, SHIVANI SURESHCHANDRA 292262
PATEL, TARAL 292854
PATERSON, JAMES GORDON 292781
PATON, HOLLY DENISE 292900
PAVONI, NATHAN ANGELO 292782
PECK, ALEXANDRA L 292257
PECK, ANASTASIA HIROMI 292306
PEEPLES, SYDNEY BRYNN 292671
PELLETIER, DANIELLE MARIE 292389
PENNER, NICOLLETTE LUDMILA ZUNIGA 292631
PENNER, VIRGINIA LEE 292913
PENSINGER, STACY ALEXIS 292131
PEREZ, FELIX EDUARDO 292534
PEREZ, VIOLA 292710
PERRY, NOA 292169
PETERS, LAUREN MICHELLE 292661
PETERS, SAMANTHA RENEE 292690
PETERSON, KELLY ROSE 292307
PETKEWITZ, LUCAS RYAN 292443
PETRAITIS, DANIELLA MICHAL 292308
PFEIFER, JANAYA MICHELLE 292928
PFEIFER, LEANNE ELYSE 292509
PHAM, EVAN VINH DUY 292457
PHAM, KEVIN JEFFREY 292309
PHILLIP, OMARI AKIL 292627
PIRKLE, JARED CLIFF 292639
PLASABAS, MILA LOUELA 292417
POIRIER, AARON JOSEPH 292650
POLIDO, ALISHA DEANNE 292676
POLITO, SARA ANNE 292101
PONCE, REBECCA ANGELINA 292783
POPATIA, SHAMIA 292566
POWELL, CHARLENE 292784
PROCTER, AYONNA CATRICE 292715
QUACH, BRIAN LIN 292785
RADACH, KYLE BRANDON 292231
RAGAZA, SHELESH OCHOA 292818
RAINS, KAYLEE AUGUSTA 292117
RAJU, CHANDIP KAUR 292892
RAMIREZ, GABRIELA CHRISTINE 292786
RAMTEKE, SHWETA 292657
REALE, ANTONIO M 292716
REDDY, SANJAY KASWARAM 292844
P R O G R E S S N O T E S S E P T E M B E R 2 0 1 6 - M A R C H 2 0 17 7
NEW PHYSICAL THERAPISTS | SEPTEMBER 2016-MARCH 2017
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
REIN, MARCUS DAVID 292535
REYNOLDS, ALLISON MERRILL 292034
RICAFRENTE, JONATHAN 292530
RICE, TANYA ALICIA 292648
RICKENBACH, MARISA LYNN 292450
RIGSBY, CHRISTOPHER KELLY 292233
RILEY, NICOLE RAMONA 292704
RINARD, RENEE FRANCES 292499
RIPOTOLA, ROSS MARCELINO ALNAS 292941
RIVERA, KIMBERLY ROSE 292571
ROBB, KYRA 292211
ROBERTS, JOHN CHARLES 292038
ROBESON, DANIEL COOPER 292598
ROBINSON, JESSICA ANN 292102
ROBINSON, PAMELA NICOLE 292212
RODRIGUEZ VARGAS, LUCIA 292717
RODRIGUEZ, CASSANDRA 292823
ROJAN, ASHLEY NICOLE 292254
ROLF, MATTHEW JAMES 292691
ROLLE, TIARA VANESSA 292235
ROLLO, MARGARET JOAN 292651
ROMANO, JENNA LOUISE 292096
ROSARIO, CRISELDA LAROCO 292940
ROSI, BRANDON 292860
ROSKOWSKI, ALISON ERIN COOK 292187
ROSSI, TAYLOR JANAE 292310
ROSZKOWSKI, MICHELLE LEE 292850
ROTT, SARAH 292387
ROWAN, TODD GREGORY 292698
RUDD, CRISSELDA VINLUAN 292084
RUIZ RUIZ, YESICA 292317
RUIZ, CHASE BRANDON 292311
RUIZ, JANET MARISSA 292441
RUSSELL, JULIA FENTON 292607
RUSSELL, LAUREN KRISTEN 292097
RUSSELL, ROBERT EUGENE JR. 292586
RUSSELL, THOMAS WILLIAM 292213
RYAN, NILES 292500
SALDIVAR, ANDREW 292039
SALONGA, EILEEN LANSANG 292526
SANCHEZ, ALISSA MICHELLE 292021
SANDO, CHRISTINA JOAN 292234
SANDSTROM, KC 292040
SANFROTELLO, JORDAN ELIZABETH 292186
SANGHA, MANREET 292788
SANKHE, AJIT A 292602
SANTIAGO, JOSEPH CHRISTIAN 292386
SANTIAGO, NIEHMER 292319
SANTOS, MARISSA GRACE 292624
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
SARIBAN, NATALIE KATHRYN 292451
SARIBAN, NOE SOHRABY 292452
SATTLER, JACI 292855
SCHLOTTHAUER, NATALIE ROSE 292789
SCHMALENBACH, DARCY LORENE 292320
SCHMID, RHONDA LEA 292447
SCHMITT, ERIK JOHN 292861
SCHMUTZLER, DANIELLE 292790
SCHOONOVER, SEAN DAVID 292322
SCHULTE, KRISTINE NICHOLE 292949
SCHULZ, ERIN MICHELLE 292323
SCHUTZ, DAVID A 292705
SCHWARTZ, JOSHUA BENJAMIN 292192
SCOFIELD, SASHA 292324
SCOGIN, TARA JO 292791
SCOGIN, WILLIAM MCLEOD 292792
SCOTT, MARQUITA TREEMONISHA 292325
SEARS, REBECCA ELLEN 292044
SEDAGHAT-YAZDI, PAYMON 292326
SESON, ADAM 292866
SHAH, DISHA CHINTAN 292025
SHAKIBAI, MONA 292839
SHANKS, LAUREN MARIE 292328
SHANOK, RACHEL JOY 292029
SHARMA, AKRITI 292831
SHARMA, SONIA 292241
SHEATS, ABIGAIL ELLEN 292329
SHELBY, KIRSTEN ANNA 292825
SHERMAN, CHRISTOPHER EUGENE 292826
SHERMAN, HEATHER DIANE 292510
SHIELDS, KELLY JEAN 292951
SHIMANEK, SARAH LESTER 292330
SHINJO, MIRIKA 292331
SHITO, TAKUMA RICHARD 292862
SHOEMAKER, JAMES 292333
SHORE, ARIEL E 292098
SHUKLA, DEVANGI MAHESHKUMAR 292910
SHYU, JANICE C 292453
SILANGCRUZ, JAIME CARLO 292448
SILVA, JOSHUA HIROSHI 292335
SILVER, KARLEE ANA 292793
SIMCOX, LOGAN ROBERT 292209
SIMON, RADHARANI LAKSMI VILLAFLOR 292679
SINCHIOCO, ROSELLA CALIXTRO 292659
SINKAR, TANVI 292105
SIVA, ANDREW ROBERT 292794
SLAMA, HELEN CLAUDE 292849
SMITH, JAMES RYAN 292724
SMITH, JOANNE REBECCA 292022
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
SMITH, KELSEY LYNN 292232
SMITH, SHAWNA KATHLEEN 292046
SMITH, TREVOR DOMINIC 292336
SNOUFFER, KATRINA ELISE 292458
SPEAS, RICHARD ELWOOD 292539
STANKO, LYNETTE RAE 292605
STAPLETON, ZACHARY MICHAEL 292035
STEARNS, JULIA MERILYN 292863
STEFFEN, JENNIFER 292946
STEINER, SHAWN MARIE 292568
STERN, FRANCISCA MANUELA 292714
STEWART, MYRA NICHOLE 292321
STILLINGE, HARALD HENRIK EGHAVE 292474
STONE, KYLE MARK 292795
STREBEL, SAMANTHA ERIN 292840
SULLIVAN, HARRISON JOSEPH 292875
SUSON, RACHEL ROSE MERCADO 292796
SWANSON, HILLERY MARGARET 292337
SWITTERS, SOPHIA K. MILAN 292338
SZOCINSKI, JACOB ROMAN 292832
TAFRESHI, AFSANEH 292041
TAFT, SIONA KALI 292159
TAKAHASHI, HEATHER 292901
TALAJIYA, DISHA SANDIP 292045
TAMARAY, JOHN MICHAEL LIM 292242
TAMSE, RENALD CHRISTIAN 292339
TANCINI, MICHAEL EVAN 292921
TANNOUS, SLIMAN COSTA 292841
TANOUYE, JAMES YOSHI 292606
TAWARE, SHALAKA AVINASH 292106
TAWFIK, SANDRA AMIR 292846
TAYLOR, ASHLEY ANN 292904
TEEL, KAITLYNN ELIZABETH 292342
TEJADA, IMELDA PRADIL 292645
TENG, HSIANG-LING 292632
TESLER, LIORA 292189
THAP, DAN B 292885
THOMAS, MOLLY ANN 292048
TILLAY, SARAH ELIZABETH 292360
TILLER, JASON 292504
TIONGCO, CARMINE PINEDA 292144
TOGI, SUTIONO 292346
TOH, BENJAMIN FRANKLIN 292609
TOY, KATHRYN J 292843
TRACY, JESSICA LOUISE 292347
TRAN, DAVID CHAPLAIN 292576
TRAVERS, STEPHANIE LYNN 292099
TRAVITZ, NICOLE CHANELLE 292494
TROTTA, KARLA CHRISTINE 292137
8 P H Y S I C A L T H E R A P Y B O A R D O F C A L I F O R N I A
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
TYSON, BRITTANY 292349
UNNI, TOGIN PAPPACHAN 292893
VAILLANCOURT, LOREN BRITTANEY 292681
VAISHNAVI, NIDHI ASHOK 292909
VALDEZ, DANIEL VALVERDE 292030
VAN HOUTEN, HUNTER CORBET 292042
VAN RAMSHORST, CHAD MICHAEL 292350
VASQUEZ, NOLAN JED 292461
VEETURI, DIVYA 292524
VELASQUEZ, BRIANNA CANDICE 292797
VENEZIA, NICOLE YVONNE 292352
VENTURA, ALEXANDER DAVID 292353
VICENCIO, DELIA ELISABETH 292086
VILLAR, SARAH ROSALYN 292822
VINOGRAD, ADIRA 292610
VO, HUY KIEN 292354
VOLKMAN, BENJAMIN JAMES 292160
VOLKMAN, SHANNON ERIN 292384
VORA, SALOMI RAJIV 292522
VU, DIANA DAO 292356
VY, JOHN TUAN 292462
WAGNER, KATHLEEN RHIANNON 292929
WAITE, CHRISTOPHER 292905
WAITE, DAVID W 292193
WALK, KELSEY ELIZABETH 292725
WALKER, JULIE COLLINS 292806
WALKER, REBEKAH ANN STOKES 292203
WALL, SAMANTHA LYN 292264
WALLER, MEGAN 292807
WALLIS, SHERRI BETH 292185
WALTMAN, RONALD DAVID 292359
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
WANCZYK, CAROLYN JOY 292943
WARBRITTON, CLARA LILIAN 292459
WARD, LOREN LEE 292253
WARNER, CHRISTIE ANNE 292388
WEBB, MACEY KYLE 292634
WEN, VICKY LING 292362
WESTFALL, KORI 292505
WETTERER, ANNE HANLON 292672
WHEAT, VI LIEU 292501
WHITE, BRIAN RANDALL 292798
WHITFIELD, SYLVIA PURCELL 292884
WIJTING, YORICK A 292141
WILDEMANN, CELINA L 292799
WILKINSON, SUSAN DOROTHY 292622
WILLARD, KERRYELLEN LAKIN 292919
WILLIAMS, DAVE MICHAEL 292163
WILLIAMS, PRISCILLA 292800
WILLIARD, SYDNEY MARIE 292363
WINDSOR, LACIE NOELLE 292638
WINKELHAUS, JOHN WILLIAM 292712
WINNWALKER, DANIEL CHRISTOPHER 292251
WINTER, ALEXANDRA LEIGH 292683
WINTERHALTER, LUCAS E 292880
WIPPERMANN, ERIN JOY 292455
WIRT, JENNIFER 292214
WIRTALLA, BRIAN THOMAS 292868
WONG, BENJAMIN 292154
WOO, GARRETT MICHAEL 292135
WOOD, KELSEY MARIE 292833
WOODASON, JOCELYN RENEE 292922
WOODS, BEAU RAMSEY 292930
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
WOODWARD, KATE LEIGH 292537
WOOLFENDEN, JOANNE TSUBOTA 292136
WOOLRIDGE, JULIE ANDREA 292239
WU, BRYAN 292364
WU, HUIMIN 292669
WYNE, HASSAAN 292581
XU, QI 292454
YACOUB, JOHN W. M. 292523
YAHALOM, JOSHUA 292265
YANCEY, ALEXA LYNNE 292902
YANEZ, SUSANA 292366
YANG, STEVEN KAIPO 292236
YAP, AMANDA ELIZABETH 292801
YAP, SHANE LAURENCE 292920
YEE, LINDSEY HATCHER 292640
YEE, RICHARD KING HO 292589
YEUNG, LISA LOK SUM 292367
YOON, RICHARD 292368
YOSHINAGA, KIMBERLY NICOLE 292802
YOUSSEF, AMANI NASHED FAHIM 292140
YUMO, JULIE ANN RAMOS 292527
ZABLOCKI, ARIEL L 292031
ZAFUTA, ALYSSA KAY 292370
ZARENO, DAVE ALONZO 292803
ZAWAR, APURVA KAILASH 292261
ZHIDETSKIY, ALEKSANDR 292371
ZIEGLER, BRIAN C 292020
ZIMMERMAN, CARLY 292718
ZINSER, ELIZABETH MARY 292161
ZURCHER, AMY LYNN 292531
NEW PHYSICAL THERAPISTS | SEPTEMBER 2016-MARCH 2017
P R O G R E S S N O T E S S E P T E M B E R 2 0 1 6 - M A R C H 2 0 17 9
If you are unable to comply with the continuing competency requirements by the time of renewal, you may renew your license in inactive status. Renewing your license in inactive status does not require completion of continuing competency requirements, but you are not permitted to work. Upon completion of the continuing competency requirements, you may request that your license status be changed to active status by submitting the Inactive to Active License Status application.
In no case shall you certify on your renewal that you comply with the continuing competency requirements and renew your license in active status if you did not comply with the continuing competency requirements. When completing your renewal, you are certifying under penalty of perjury that the information is true and correct, so you do not want to certify false information.
The result of failing to comply with the continuing competency requirements is dependent upon the audit case; each case is individually assessed to consider the specific circumstances of the situation. There is a wide range of action the Physical Therapy Board of California may take for noncompliance; however, the board’s primary goal is to educate on and facilitate compliance with the continuing competency requirements. Continuing competency is a preventative consumer protection measure; therefore, the board would like compliance rather than an enforcement action whenever possible.
Here are two examples of the range of action and how each situation may be approached: (1) If you certify you comply, but the board determines in an audit that you do not, it may provide you with an opportunity to fulfill the identified deficiencies and come into compliance. (2) Situations such as not responding to board audit requests or failure to complete any continuing competency will likely be referred for enforcement action.
To ensure you comply with the continuing competency requirements, visit www.ptbc.ca.gov/licensees/cont_comp.shtml.
If I haven’t satisfied all my continuing competency requirements in time for renewal, what can I do?
Do we have your email address?As of January 1, 2014, licensees are required to provide the Physical Therapy Board of California with an email address, if the licensee has one. Email notifications are an efficient way to share information between the board and its applicants and licensees.
Using email, the board can rapidly communicate regarding the status of applications, renewals, and requests for various board services; provide law and regulation updates; and disseminate important board news directly to each applicant and licensee—from the board to your email inbox. It doesn’t get much easier!
Also, when using the Department of Consumer Affairs’ BreEZe online services system, email is the standard method of communication. You can submit your email address through BreEZe (www.breeze.ca.gov) or the Request for Address Change form, which can be downloaded at www.ptbc.ca.gov/forms/index.shtml. You may also submit your email address in writing to the board—please include your name and license number. The board’s address is 2005 Evergreen St., Suite 1350, Sacramento, CA, 95815.
CONTINUING COMPETENCY
10 P H Y S I C A L T H E R A P Y B O A R D O F C A L I F O R N I A
NEW PHYSICAL THERAPIST ASSISTANTS | SEPTEMBER 2016-MARCH 2017
Congratulations to our newly licensed physical therapist assistants!
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
ABERNETHY, DANIEL SCOTT 48223
ADDISON, BRIANA MARIE 48430
AGCAOILI, MELODY DAWN DOMINGO 48359
AHKIONG, RONALD JAM 48397
ALEJANDRE, BERNARDO R 48473
ALEJO, CHERYL SANCHEZ 48203
ALFONSO, MERVIN MIRANDA 48595
ALFREY, ANDREW DEAN 48585
ALIE, HEATHER ROSE 48287
ALMENDARES, ANALISA IVETTE 48206
ALVARADO, STEPHANIE VIANNA 48560
ALVAREZ, MELISSA RENEE-SEABERG 48474
AMADOR, ROBERT 48532
AMICK, LYNETTE ROBIN 48439
AMIN, NIRALI CHINTAN 48469
ANDERSON, JASON MARK 48468
ANG, ANDREW 48455
ANG, REBECCA ILENE 48411
ANTONIUS, LAURA STOLEN 48413
ANZURES, MARIO 48447
APELO, JOSEPH FERAN JOHN DURAN 48609
ARCEGA, RAFAEL BISCOCHO 48519
ARCOS, GLORIA STEPHANY 48596
ARGO, SHARAYAH AMBER 48315
ARNDT, KRISTY ANNE 48412
ARNOLD, RICHARD RAYMOND 48309
ARROYO, LUIS A 48475
ARROYO-ESPINET, JOCELYN ROSALUZ 48476
ASATRYAN, VALENTIN 48620
ASHEN, SARAH REBECCA 48564
AUYON, STEPHANY 48612
AVANESIAN, ARBI 48573
AVILA, JUAN 48377
BACHTLE, REBECCA LYNN 48629
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
BACOLOD, CHRISTIAN CANIEZO 48512
BALINGIT, PASTORALF AUSTRIA 48215
BARNETT, CHERYL DIAN 48291
BARNETT, LADDY LEAF 48273
BARTH, CHRISTOPHER ANDREW 48242
BATARINA, SHARON EMILY 48434
BAUTISTA, MATTHEW MANIO 48230
BEATTY, DANIELLE JEANETTE 48231
BECERRIL, JUAN CARLOS 48622
BECKER, HEIDI MARIA 48406
BELLUSCIO, PETER JOHN 48213
BETHEL, ZACHARY EUGENE 48552
BHAKTA, ANAY HASMUKHBHAI 48272
BOLSHAKOVA, ALENA 48533
BOTONES, THEODOR LORENZ PAYUMO 48378
BRANDT, LINDSEY ERIN 48392
BROWNRIDGE, EVELYN CALISO 48354
BUCHWALD, NICOLE MARIE 48635
BUNDURA, GARRETT JAMES 48557
BURFITT, LARRY ALLAN JR 48284
BURNS, ELIZABETH AMBER-MARIE 48379
BUSH, KIMBERLY KAY 48461
BUSS, ALICIA MARIE 48501
BYRNE, MICHAEL VINCENT 48548
CABALES, STACY QUINTINA 48232
CABALLERO, NATALIA DANIELA 48335
CACHAPERO, JOSHUA ESGUERRA 48390
CALAYCAY, DENNIS AUGUSTUS 48343
CALHOUN, KAITLYN RYAN 48271
CARIZON, JAY 48626
CASCAGNETTE, CURTIS RICHARD 48402
CASTILLO, JOANNE CABALDA 48233
CASTREJON, VERONICA 48478
CELO, ERVIN PATRICK 48304
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
CERDA, SANDRA 48332
CHAO, KYLE D 48520
CHESLEY, ALISON EILEEN 48363
CHEW, KEVIN ENG 48270
CHOI, HOCHUL 48244
CHRISTIAN, EMILY N 48450
CLARAVALL, RYAN MARVIN 48292
CLAYTON, ERICA 48534
CLOVIS, BRYAN JOSEPH 48418
COLE, LIAM JAMES 48521
COLLINS, KEN GEORGE 48451
CONLEY, JESSICA LYNN 48578
COPELAND, EVAN GARRETT 48426
CORBET, CHAD 48479
CORDOVA, ARTURO 48238
CORPUZ, RYAN TORRES 48245
CROCHET, TATIANA CATHERINE 48522
CROUSE, EVAN YOSHIO 48246
CRUNDWELL, GARY HAROLD 48446
CUI, JAE-RAMON LINTAG 48247
CUSTER, MICHAEL EDMOND 48563
DACKO, SARAH HOPE 48613
DAGAN, TRITON C 48574
DAILO, FRANK AARON DEL ROSARIO 48414
DAKHANE, PRIYA 48316
DANIEL, SETH REEVES 48293
DAVIS, ARIEL ROSE 48283
DAVIS, CHRISTOPHER LEE 48638
DAVTYAN, ARTIN 48248
DE LA ROSA, JASON PETRIE 48324
DECKER, BRANDY DANIELLE 48436
DEGROTE, GRETCHEN LYNN 48547
DEL SARTO, ELLABETH ANN 48410
DELA CRUZ, ANDREW MOLINA 48480
P R O G R E S S N O T E S S E P T E M B E R 2 0 1 6 - M A R C H 2 0 17 11
NEW PHYSICAL THERAPIST ASSISTANTS | SEPTEMBER 2016-MARCH 2017
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
DEVEAU, MICHEL ELIZABETH 48303
DICE, JORDAN ALAN 48463
DILIBERTO, APRIL ROSE 48202
DODD, STEFAN JURGEN 48467
DOMINGUEZ, SARAH JANE 48337
DONGRE, AMRUTA A 48608
DUMAS, ELIZABETH M 48472
DUNLAP, KEVIN CHOI 48441
EDDINGTON, JESSICA LAEL 48630
EISEMANN, BRETT DOUGLAS 48565
EK, KEVIN J 48305
ELIZONDO, KARI ANN 48240
ENCINARES, MARK ANTHONY 48249
ENRIQUEZ, CHANNELL NICOLE 48391
ERMSHAR, CHERI KATHRYN 48222
ESTRADA, MELISSA MONIQUE 48294
ESTRADA, OSCAR ELISEO 48250
FAGAN, VICTORIA DIANNE 48280
FALK, ELIZABETH K 48409
FARDANESH, KYLE ANTHONY 48216
FEHLMAN, JESSICA 48588
FELLENBAUM, KIMBERLY 48640
FERNANDEZ, CARLO ANTONIO 48205
FEUERSTEIN, ALICIA MARIE 48438
FINNEGAN-CALHOUN, PAMELA ANN 48357
FLETCHER, COREY 48489
FLORES, NICHOLAS PHIL 48627
FRANKS, JAY MICHAEL 48481
FRAZER, SHILOH KATHLEEN 48329
FRIZZELL, LORI ELLEN 48424
GABRIEL, GERON DALE POSADAS 48419
GAMBILL, AARON RAMY 48482
GAMBOA, NATASHA M 48358
GARCIA, KATHRYN ANNE 48445
GARCIA, NICOLAS IGNACIO 48619
GERMAN, SCOTT NICHOLUS 48338
GIERCZAK, ASHLEY ROSE 48210
GIFFIN, KATHRINE ANN 48423
GILBERT, BRENDA LEE 48582
GIUNTINI, MATTHEW 48306
GLANCY, JUSTIN LEE 48425
GONDOSAPUTRO, CHRISTINA CECILIA 48513
GONZALES, CECILIA ALICIA 48339
GONZALES, FLORENTINO CASTANEDA JR 48506
GONZALEZ, AMANDA MARIE 48433
GONZALEZ, NANCY CASTRO 48267
GOODELL, JENNIFER LYNN 48464
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
GOODWIN, LESLIE JORDAN 48252
GORMAN, THOMAS RAYMOND 48466
GUERREIRO, CANDACIE BRAHN 48429
GUERRERO, SARAH SENTELL 48440
GUILLORY, LORELI MARIE 48295
GULA, JOHN SOBERANO 48544
GULLOTTI, MELIA LUISA 48545
GUTIERREZ, CASEY MOORE 48416
GUTIERREZ, YVETTE 48380
GUZMAN, CHRISTIAN ANDRE 48320
HAFF, SHANE SINFUEGO 48253
HAGAN, RACHEL SHARISSE 48504
HALFORD, JENNIE DORA 48583
HALL, TREVOR 48562
HAMANAKA, SCOTT GREGORY 48254
HAN, YOUNG HOON 48340
HANNA, NANCY AZMI 48597
HARNESS, DAVID MICHAEL 48400
HART, MARGARET SHIRLEY 48444
HARVEY, TRISTA LYNN 48255
HELWIG, JASON STEFAN 48327
HERMANNS, LISA MICHELLE 48546
HERMISTON, MOLLI MARIE 48523
HESS, ELAINE 48621
HICKMAN, WILLIAM RICHARD II 48256
HICKS, KOURTNEY J 48312
HO, CINDY 48549
HOEFLINGER, KYLA DANIELLE 48307
HOLLENBECK, JUDITH REBEKAH 48382
HOPKINS, SARAH MICHELLE 48524
HORTON, SCOTT ALLEN 48384
HOSKINS, STEFANIE ELYSE 48554
HOWARD, AUTUMN FAWN 48610
HOWLEY, AARON JOSEPH 48538
HUCK, ELIZABETH ASHLEY 48417
HUERTA, CYNTHIA VANESSA 48269
HULETT, RICHARD ALAN 48507
HUTCHENS, T ZACHARY 48636
HUYNH, JESSICA DIEP 48483
JOHNSTON, DANIEL ALAN 48454
JONES, ALAN WESLEY 48484
JONES, DOMONIQUE NICOLLE 48485
JONES, LOREN CODY 48385
JORDAN, JONATHAN ALAN 48399
JUHL, HILLARY ANNE 48525
KALAS, JENNIFER SARA 48457
KANAGI, KEVIN JOSEPH 48225
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
KATSMAN, OLGA 48601
KAUR, MANPREET 48539
KEBETS, INNA 48453
KHIMANI, NADIM 48224
KIM, ALEXANDER 48516
KIM, YOUNG J 48617
KINGSBURY, NATHANIEL IAN 48561
KIRKHAM, TIMOTHY 48576
KITSON, ASHLEY ANNE 48404
KLEIS, JENNIFER CHRISTINE 48288
KNOWLES, KEESA 48542
KOJAKEHYANYAN, MICHELLE 48328
KOPECKY, KENDRA IRENE 48386
KOTAKE, BRENT CURTIS 48296
KROTZER, JESSICA ERIN 48323
KUHNE, CLAUDIA MARIE 48618
LACUESTA, MARCELINO DAVID 48344
LAKATOS, RUSSELL SCOTT 48301
LAMELA, RAM RANIELLE VISTA 48415
LANE, MARLIN EDWARD 48403
LATIOS, ART ALONZO 48486
LAU, DEREK SIU HAY 48345
LAUX, MATTHEW JAMES 48362
LEAVELL-PENN, MICHELLE JEAN 48308
LEBEAU, KATHLEEN BRIANNE 48510
LEPORE, KARI JOANN 48207
LESLIE, DEBORAH REGINA 48442
LIM, CALEB 48435
LIN, XIAOHUI 48297
LO, TE-HSIANG 48396
LOMBARDI, ERIN MARIE 48229
LORD, MATTHEW 48376
LORICO, JONATHAN SANTELICES 48517
LOVING, KRISTEN ELIZABETH 48408
LOWERS, CHELSEA LEONA 48257
LUGO, CLAUDIA-SUSANA 48387
LUNA, CARLO MENDOZA 48591
LURTZ, REBEKAH ANN 48258
LYNCH, PAULA JO 48607
LYNN, TRACY CATHRYN 48471
MAHINAN, CHRISTOPHER PEREA 48388
MANGAOANG, HAZEL NIKKI VICTOR 48336
MANUEKE, STAZY SAMUEL 48593
MARANAN, ISABEL ALDAY 48615
MARRERO, VICTOR J 48535
MARSH, KELLY NICOLE 48487
MARTIN, KRISTEN NICOLE 48477
12 P H Y S I C A L T H E R A P Y B O A R D O F C A L I F O R N I A
NEW PHYSICAL THERAPIST ASSISTANTS | SEPTEMBER 2016-MARCH 2017
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
MARTINEZ, OSWALDO EMANUEL 48226
MARTINEZ, STEPHEN CHRISTOPHER 48594
MCCREE, DANIELLE NICOLE 48631
MCKINNON, HOLLY KATHERINE 48515
MEDINA, JORGE FRANCISCO 48526
MEERHOLZ, SARAH PARKER 48398
MEHSIKOMER, JESSICA ROSE 48470
MENDOZA, AARON TIMOTHY 48614
MENDOZA, KAREN E 48488
MICHAELSEN, MICHAEL R 48587
MIGNANO, ANTHONY SALVATORE 48268
MILLER, DALLAS WESLEY 48227
MILLS, CRAIG DAVID 48443
MIRANDA, SEAN JOEL 48326
MITCHELL, NICOLE SCHULLER 48584
MOCK, AARON CHRISTOPHER 48540
MOMIN, RESHMABANU MOHMMADYUNUS 48361
MOODY, JULIA ANNE 48389
MOORE, BRENDAN H 48458
MOORE, CHRISTINE MICHELLE 48275
MOORE, KRISTY LUCILE SWENSON 48218
MORAGA, VINCENT AMADEUS 48508
MORGAN, EVERA JOSEPH 48322
MORLEY, COLETTE AMI 48381
MUJICA, ANTHONY MICHAEL 48299
MULLIGAN, JENNIFER ANN 48589
MUNDAY, EMILY ELIZABETH 48405
MUNOZ, RUBEN 48289
MURILLO, ERIC DANIEL 48346
MYNK, GARRETT JENSEN 48633
NEFF, AMANDA RAE 48580
NGO, CHRISTINE 48527
NGUYEN, ANH T 48586
NGUYEN, ANTON N 48348
NGUYEN, RILEY 48347
NGUYEN, VINCENT DUC 48505
NOEL, ALEXIS MARIE 48259
NORTHERN, AUBREY JEAN 48311
OBANA, STEPHEN V 48528
O'CONNOR, MEGAN KATHLEEN 48364
ODOM, KEVIN LU 48605
OLAIYA, BOLARINWA OMOLAYOLE 48503
OLIVERA, ANA T 48302
ONGARO, AMY ELIZABETH 48611
ORDIANO, MICHELLE CHRISTINE 48349
ORDONEZ-CALDERON, MARIO JESUS 48581
ORFEYEVA, JANYA 48536
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
O'ROURKE, LEAH JOLEEN 48431
ORTEGA, AARON MIGUEL 48490
PADILLA, JONATHAN HECTOR 48374
PAEZ, ANDREA PAULETTE 48220
PAMINTUAN, IAN VERGEL RATON 48228
PAMINTUAN, IVAN SISON 48448
PAREKH, RITI BHARATKUMAR 48241
PARK, SEHYUK 48462
PARKER, JENNIFER LYNN 48459
PARMAR, SWATI JAIKRISHNA 48567
PATEL, JAYESH 48355
PEREZ, CHARLES 48350
PESIGAN, KELSEY SANTOS 48491
PETERSON, EMILY MARIE 48577
PIERRE, VIVIE 48341
PINEDA, ANGELICA CORINNA 48365
PODBIELSKI, MAKIAH ALYSHIA 48278
POSADA, CLAUDIA PATRICIA 48366
POSTLEWAIT, SOPHIA GRACE 48393
PRABHAKAR, KAVITA 48298
PRATER, AUSTIN KYLE 48401
PUDEWELL, MATTHEW RYAN 48234
PYFROM, GAIL CAMINITI 48541
QUINTERO, MARIELA 48492
RACHO, RODRIGO ABITONA 48367
RAJABPOOR, AMANDA MARIE 48568
RAMIREZ, STACY DANIELLE 48529
RASIKH, SARAH SAHAR 48551
RATHS, KAYDEE LORRAINE 48493
REESER, MEGGIN ELIZABETH 48494
RICHARDS, GERALDINE MANALESE 48317
RILEY, JOSHUA PATRICK 48282
RIVERA, CHRISTIAN 48628
RIVERA, ROBERTO REYNALDO 48274
RODINO, RYAN NICHOLAS 48351
ROJO, IRENE 48394
ROMERO, RAQUEL 48634
ROQUE, AVON REY TUAZON 48266
ROSALES, ANTHONY RICHARD 48420
RUBI, LISA MARIE 48553
RUDDELL, LYNDEE PAIGE 48375
RYAN, KAYLI BREANNE 48427
RYBIN, YURI Y 48290
SABADO, STEPHEN BAUTISTA 48624
SALAZAR, MARCELO 48334
SALTER, JAKE CHRISTOPHER 48550
SAMUELSON, MICHELLE 48616
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
SANCHEZ, JAMIE VANESSA 48300
SANDHU, AMANDEEP 48432
SANDOVAL, DANIEL BENJAMIN 48602
SANTIAGO, YVONNE ELIZABETH 48383
SAUNDERS, PATRICIA DYKE 48260
SCHILIRO, CHRISTOPHER FRANKLIN 48437
SCHNOOR, DAVID 48632
SCHULTE, AUBRIANNE ELIZABETH 48558
SCHULZE, TARA ELIZABETH 48369
SERRANO, MARVIN STEVEN 48204
SERVIN, OSWALDO 48530
SHERROD, JESSE ARTHUR 48370
SIA, JUSTIN TIRTOPRODJO 48555
SIGALA, JOSE G 48495
SIMKOVA, NINA 48261
SIMPSON, JAYMIE NICHOLE 48556
SINGH, HARJOT KAUR 48277
SIU, JOSHUA 48537
SLADE, RYAN ANTHONY 48559
SLEVIN, KYLEE MARA 48531
SLODZIAK, SYLVIA REGINA 48639
SMITH, FELICIA MICHELLE 48235
SMITH, RYAN LLOYD 48579
SMITHBERGER, CHRISTINE MICHELLE 48208
SO, JONATHAN ANDREW 48219
SOBOTIK, LAUREN RENEE 48421
SOKOLOVSKY, JEFFREY TYLER 48368
SOUTHERN, ASHLEY MARIE 48243
SPELLMAN, ISAIAH MATTHEW 48239
STEFFEL, CHARLENE PHYLLIS 48279
STEPHENS, XENIA 48209
STOWELL, KAYLA NICOLE 48509
STUDITSKY, PETR 48571
SURFACE, ANDREA LYNN 48264
SUTHAR, KRISHNA JAYESH 48428
TADURAN, MARIA TADURAN 48265
TALBOTT, LYNETTE MARIE 48518
TAMAYO, JAMIE ELIANA 48449
TAMAYO, JUAN A 48330
TAVARRO, JESSIE C 48319
TAVERA, MARK 48496
TAYLOR, BERNADETTE MARIE 48500
TAYLOR, DIANA REBECCA 48318
TEMPLE, JUDE N 48217
THOMAS, TARRON ARLENE 48373
THORNHILL, GARY VINCENT 48514
TIWANA, JASMEET KAUR 48331
P R O G R E S S N O T E S S E P T E M B E R 2 0 1 6 - M A R C H 2 0 17 13
NEW PHYSICAL THERAPIST ASSISTANTS | SEPTEMBER 2016-MARCH 2017
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
TOMA, ALBERT 48360
TORRES, CYNTHIA T 48281
TORRES, DHANIZA JOY LINGAD 48569
TOSTO, FLORDELIZA ALEJANDRO 48637
TRACEY, LAURA CHRISTINE 48352
TRAN, FREDERICK XUAN 48321
TRAN-MORFIN, TAWNIE 48465
TRINH, MAI LE DIEM 48575
TRINIDAD, PATRICIA GONZALES 48598
TRUDELLE, CHRISTINA THERESE 48407
TSAI, JENNY YU-YING 48371
TUCKER-ROBERTS, TARA JEAN 48572
TUMINO, VINCENT 48236
ULANOWSKI, MEGAN GLORY 48333
VALDEZ, ANGEL ALBERTO 48511
VALPONI, DOMINIC D 48237
VANNUCCI, DAVID MICHAEL 48372
VARCOE, RACHEL 48285
VELASQUEZ, SUSAN ANDREA 48325
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
VENZON, DENNYL BANTAYAN 48356
VERGARA, LLOYD ANDREW 48623
VILLANUEVA, DANIEL RILLERA 48502
VILLELA, JESSICA L 48395
VILLELA, VERONICA 48452
VINCENT DE PAULE, DORIAN MELODY 48342
VITULLI, GIUSEPPE ANTHONY MICHAEL 48600
VON HARRINGA, NAOMI C 48211
VONDERAHE, APRIL D 48603
VRANA, MICHAEL TRAVIS 48214
VY, VAN THI HOANG 48310
VYAS, KRUTI 48422
WALNOFER, AIMEE ELIZABETH 48543
WALSH, RYAN CLIFTON 48570
WANG, VIVIAN LANN 48212
WATERHOUSE, DYLAN ANTHONY 48497
WATSON, ARMAND DARRIUS 48592
WELLS, CONNIE ZARAZUA 48263
WELSH, JONATHAN A 48625
NAME (LAST, FIRST, MIDDLE)
LICENSE NO.
WHITLOW, ALEX CHRISTOPHER 48590
WICKHAM, LARISSA L 48313
WIEGERS, GREGORY RICHARD 48456
WIGHTMAN, ASHLEY ANN 48460
WILLIAMS, ALISON 48604
WILLIAMS, AMY NICOLE 48251
WOHLMAN, ANDREW MARC 48276
WOODS, ANDREW ROBIN 48286
WOODS, JESSICA 48498
WREN, JOSEPH ROBERT 48353
WURZELL, ALISON 48606
WYSOCKI, NICHLOAS RAYMOND 48566
YAKATAN, ELLIE ROSA 48599
YANG, CHA CHENG 48221
YANG, SAMUEL 48499
YAO, KIM CASTRO 48262
YU, JOEY TERENCE ANG 48314
14 P H Y S I C A L T H E R A P Y B O A R D O F C A L I F O R N I A
DISCIPLINARY ACTIONS
The Physical Therapy Board of California regulates the profession of physical therapy through the enforcement of the Physical Therapy Practice Act. The following summary indicates administrative actions taken by the board from September 2016–March 2017 against licensees for violations of the act.
Although every effort is made to ensure the following details are correct, before you make any decision based on this information, obtain a copy of the action in its entirety, including terms and conditions. You can download the copy through the Department of Consumer Affairs’ online DCA License Search.
NAME AND CITY LICENSE NUMBER ACTION EFFECTIVE
DATE
Matthews, Lori Louise
Livermore, CA
PTA 4847 Revoked 09/14/2016
ALLEGED VIOLATIONS
Conviction of a crime substantially related to the qualifications, functions, or duties of a physical therapist assistant; habitual intemperance; use of alcoholic beverages, to the extent, or in such manner as to be dangerous or injurious to himself, another person, or the public; committed a violation or violations of a provision or provisions of the Physical Therapy Practice Act; committed a violation or violations of a provision or provisions of the Medical Practice Act.
NAME AND CITY LICENSE NUMBER ACTION EFFECTIVE
DATE
Harris, Braden
North Hollywood, CA
PTA 6590 Revoked, stayed, 3 years’ probation
09/07/2016
ALLEGED VIOLATIONS
Conviction of a crime substantially related to the qualifications, functions, or duties of a physical therapist assistant.
P R O G R E S S N O T E S S E P T E M B E R 2 0 1 6 - M A R C H 2 0 17 15
DISCIPLINARY ACTIONS
NAME AND CITY LICENSE NUMBER ACTION EFFECTIVE
DATE
Macko, Ashley M
Canonsburg, PA
PT 43344 Voluntary Surrender of License
12/30/2016
ALLEGED VIOLATIONS
Conviction of a crime substantially related to the qualifications, functions, or duties of a physical therapist assistant; unprofessional conduct; use of alcoholic beverages, to the extent, or in such manner as to be dangerous or injurious to herself, another person, or the public; failed to provide, as directed and without good cause, certified copies of documents lawfully requested by the board; failed to notify the board of her conviction.
NAME AND CITY LICENSE NUMBER ACTION EFFECTIVE
DATE
Woods, Andrew Robin
Rosamond, CA
PTA 48286 Revoked, stayed, 5 years’ probation
10/05/2016
ALLEGED VIOLATIONS
Conviction of a crime substantially related to the qualifications, functions, or duties of a physical therapist assistant; use of alcoholic beverages, to the extent, or in such manner as to be dangerous or injurious to himself, another person, or the public.
NAME AND CITY LICENSE NUMBER ACTION EFFECTIVE
DATE
Henoch, Quinn Michael
Newport Beach, CA
PT 42320 Revoked, stayed, 5 years’ probation
12/05/2016
ALLEGED VIOLATIONS
Conviction of a crime substantially related to the qualifications, functions, or duties of a physical therapist assistant; use of alcoholic beverages, to the extent, or in such manner as to be dangerous or injurious to himself, another person, or the public; committed more than one misdemeanor involving the use of alcoholic beverages.
NAME AND CITY LICENSE NUMBER ACTION EFFECTIVE
DATE
Chahal, Sharan Jeet
Van Nuys, CA
PTA 10722 Revoked 10/31/2016
ALLEGED VIOLATIONS
Conviction of a crime substantially related to the qualifications, functions, or duties of a physical therapist assistant; habitual intemperance; unprofessional conduct–false statement under penalty of perjury; failed to provide, as directed and without good cause, certified copies of documents lawfully requested by the board; failed to notify the board of her arrest and conviction.
NAME AND CITY LICENSE NUMBER ACTION EFFECTIVE
DATE
Hosking, Kelly Marie
Rancho Mirage, CA
PT 19504 Revoked, stayed, 3 years’ probation
01/16/2017
ALLEGED VIOLATIONS
Conviction of a crime substantially related to the qualifications, functions, or duties of a physical therapist assistant; use of alcoholic beverages, to the extent, or in such manner as to be dangerous or injurious to herself, another person, or the public; committed more than one misdemeanor involving the use of alcoholic beverages; failed to notify the board of her arrest and conviction; failed to provide, as directed and without good cause, certified copies of documents lawfully requested by the board; committed a violation or violations of a provision or provisions of the Physical Therapy Practice Act.
16 P H Y S I C A L T H E R A P Y B O A R D O F C A L I F O R N I A
DISCIPLINARY ACTIONS
NAME AND CITY LICENSE NUMBER ACTION EFFECTIVE
DATE
Arechiga, Gregory
Newark, CA
PTA 2995 Voluntary Surrender of License
03/13/2017
ALLEGED VIOLATIONS
Unprofessional conduct by unlawfully practicing physical therapy; gross negligence; failed to maintain adequate and accurate records; failed to provide complete patient records to the board; prior disciplinary action taken by the Physical Therapy Board of California.
NAME AND CITY LICENSE NUMBER ACTION EFFECTIVE
DATE
Mercill, Brian Edward
Modesto, CA
PT 26166 Revoked, stayed, 5 years’ probation
03/02/2017
ALLEGED VIOLATIONS
Conviction of a crime substantially related to the qualifications, functions, or duties of a physical therapist assistant; use of alcoholic beverages, to the extent, or in such manner as to be dangerous or injurious to himself, another person, or the public; failed to notify the board of his conviction.
16 P H Y S I C A L T H E R A P Y B O A R D O F C A L I F O R N I A
NAME AND CITY LICENSE NUMBER ACTION EFFECTIVE
DATE
Bates, Amy
Anaheim, CA
PT 35310 Revoked, stayed, 3 years’ probation
03/03/2017
ALLEGED VIOLATIONS
Conviction of a crime substantially related to the qualifications, functions, or duties of a physical therapist assistant; use of alcoholic beverages, to the extent, or in such manner as to be dangerous or injurious to herself, another person, or the public; unprofessional conduct;
Physical Therapy Board of California
2005 Evergreen St., Suite 1350
Sacramento, CA 95815
www.ptbc.ca.gov
DEPARTMENT OF CONSUMER AFFAIRS
S T A T E O F C A L I F O R N I A
DEPARTMENT OF CONSUMER AFFAIRS
S T A T E O F C A L I F O R N I A
PROGRESS NOTESNEWS FROM THE PHYS ICAL THERAPY BOARD OF CALI FORN IASEPTEMBER 2016–MARCH 2017 PUBLISHED SEPTEMBER 2018