TAG PHYSICAL THERAPY, INC
NPI 1063581965
Physical Therapist in El Segundo, CA
About Tag Physical Therapy, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAG PHYSICAL THERAPY, INC (NPI 1063581965) is a healthcare organization registered as a physical therapist in El Segundo, California and active in the NPI registry since November 2006. The organization lists Melinda Gunter Garvey, Owner, as its authorized official.
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
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tag Physical Therapy, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Tag Physical Therapy, Inc, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 12 within 10 miles. They are listed nearest first.
Clinicians, nearest first (18)
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 Tag Physical Therapy, Inc's NPI number?
The NPI number for Tag Physical Therapy, Inc is 1063581965. It was assigned to this organization in the NPPES registry on November 6, 2006.
Where is Tag Physical Therapy, Inc located?
Tag Physical Therapy, Inc is located at 111 Penn St, El Segundo, CA 90245. The listed phone number is (310) 426-9570.
What is Tag Physical Therapy, Inc's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Tag Physical Therapy, Inc enrolled in Medicare?
Yes. Tag Physical Therapy, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tag Physical Therapy, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Tag Physical Therapy, Inc. A 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 the clinician's services. Of these, 7 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tag Physical Therapy, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Tag Physical Therapy, Inc · NPI 1063581965
Physical Therapist organization in El Segundo, California. Organization record, active in the CMS NPPES registry since November 6, 2006.
## Identity
- **NPI:** 1063581965 (Entity type: Organization)
- **Enumerated:** November 6, 2006
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Organization subpart:** No
- **Authorized official:** Melinda Garvey, OWNER
## Practice location
- **Address:** 111 PENN ST, El Segundo, CA 90245-3908
- **Phone:** (310) 426-9570 · **Fax:** (310) 426-9572
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 7 practice at this address and 12 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other ZZZ66790Z (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1063581965) · Data from the CMS NPPES public registry.