physical therapy board of california - progress notes ... · brito, gary a 292729 bromley, caleb...

17
PROGRESS NOTES INSIDE THIS EDITION Mission Statement.......................................................... 1 New Physical Therapists ............................................... 2 Continuing Competency ................................................ 9 New Physical Therapist Assistants ........................... 10 Disciplinary Actions ..................................................... 14 MISSION STATEMENT The 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 2017 PHYSICAL THERAPY BOARD OF CALIFORNIA

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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

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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

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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

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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