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Tag Physical Therapy, Inc

NPI 1063581965ActiveOrganization· Physical Therapist· El Segundo, CA

Physical Therapist in El Segundo, California, registered in NPPES in November 2006. The authorized official on file is Melinda Gunter Garvey, PT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.

Overview

NPI1063581965
StatusActive
Entity typeOrganization
NPI issuedNov 6, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000XPT18015CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (CA)

Medicare sources and data years

Other Physical Therapist providers in El Segundo

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