Tag Physical Therapy, Inc | |
111 Penn St, El Segundo, CA 90245-3908 | |
(310) 426-9570 | |
(310) 426-9572 |
Full Name | Tag Physical Therapy, Inc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 111 Penn St, El Segundo, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063581965 | NPI | - | NPPES |
ZZZ66790Z | Other | CA | BLUE SHIELD GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT18015 (California) | Primary |
Provider Name | Kathleen M Lowes |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194936252 PECOS PAC ID: 3678514650 Enrollment ID: I20050519000788 |
Provider Name | Catherine M Tarte |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497824080 PECOS PAC ID: 1658389622 Enrollment ID: I20060403000245 |
Provider Name | Melinda G Garvey |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831268739 PECOS PAC ID: 3375551344 Enrollment ID: I20060403000267 |
Provider Name | Elizabeth R Glozman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053480616 PECOS PAC ID: 9133137102 Enrollment ID: I20060403000280 |
Provider Name | Laura D Hayden Frantz |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518008895 PECOS PAC ID: 7618035247 Enrollment ID: I20081024000643 |
Provider Name | Andre K Jarrahzadeh |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205245792 PECOS PAC ID: 9931328580 Enrollment ID: I20140915001370 |
Provider Name | Nicole Ariel Bartels |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700396785 PECOS PAC ID: 9436425048 Enrollment ID: I20171026002540 |
Provider Name | Alison Grace Ramos |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740708668 PECOS PAC ID: 2264795301 Enrollment ID: I20180424001372 |
Provider Name | Andrew Meyer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326548413 PECOS PAC ID: 9739515354 Enrollment ID: I20200130000609 |
Provider Name | Lisa Zhao Alletto |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275165193 PECOS PAC ID: 9931537115 Enrollment ID: I20200323000499 |
Provider Name | Monica Suzanne Merkovsky |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750167367 PECOS PAC ID: 8820443641 Enrollment ID: I20231016000503 |
Provider Name | Diana Yvonne Mendez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306536511 PECOS PAC ID: 0749635498 Enrollment ID: I20231016001913 |
Provider Name | Andrea Gorelick |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811412646 PECOS PAC ID: 6103272612 Enrollment ID: I20231019001526 |
Provider Name | Alyssa Manami Koda |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932958030 PECOS PAC ID: 1759823669 Enrollment ID: I20240606003491 |
Provider Name | Lauren Kai |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205684503 PECOS PAC ID: 9830631746 Enrollment ID: I20240606003528 |
Mailing Address | Practice Location Address |
---|---|
Tag Physical Therapy, Inc Po Box 1767, El Segundo, CA 90245-6767 Ph: (310) 426-9570 | Tag Physical Therapy, Inc 111 Penn St, El Segundo, CA 90245-3908 Ph: (310) 426-9570 |
Christopher P Derosa, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 325 Main St, El Segundo, CA 90245 Phone: 310-648-3167 | |
Ashley Smith, PT, DPT, CCRT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 390 N Pacific Coast Hwy Ste 1000, El Segundo, CA 90245 Phone: 310-640-9911 | |
Mr. Alex M Youssefian, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 390 N Sepulveda Blvd, Suite 2060, El Segundo, CA 90245 Phone: 626-394-1575 | |
Shelby Plummer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 615 N Nash St Ste 306, El Segundo, CA 90245 Phone: 310-535-0008 | |
Elizabeth Glozman, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 Penn St, El Segundo, CA 90245 Phone: 310-426-9570 Fax: 310-426-9572 | |
Ms. Kimberlee Bickerton, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Sierra St, El Segundo, CA 90245 Phone: 310-426-9406 |