TAMMY GAIL PATRICK
NPI 1063416915
Physical Therapist in Fort Bragg, CA
About Tammy Gail Patrick NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAMMY GAIL PATRICK (NPI 1063416915) is an individual physical therapist in Fort Bragg, California, licensed in California (PT11749) and active in the NPI registry since June 2005. She is a graduate of Other (1981).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tammy Gail Patrick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tammy Patrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Bragg, CA 95437
- Reassigned Medicare billing, California enrollment
- 33 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tammy Patrick's NPI number?
The NPI number for Tammy Patrick is 1063416915. It was assigned to this individual provider in the NPPES registry on June 9, 2005.
Where is Tammy Patrick located?
Tammy Patrick practices at 31500 Winding Way, Fort Bragg, CA 95437. The listed phone number is (707) 964-1208.
What is Tammy Patrick's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Tammy Patrick enrolled in Medicare?
Yes. Tammy Patrick is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tammy Patrick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tammy Patrick reassigns Medicare benefits to Mendocino Coast Clinics, Inc. (Fort Bragg, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tammy Patrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tammy Patrick was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.