Pacific Physical Therapy - Medicare Physical Therapist in El Segundo, CA

Pacific Physical Therapy is a medicare enrolled "Physical Therapist" provider in El Segundo, California. Their current practice location is 327 Main St, El Segundo, California. You can reach out to their office (for appointments etc.) via phone at (310) 725-8505.

Pacific Physical Therapy is licensed to practice in California (license number ) and it also participates in the medicare program. Pacific Physical Therapy is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1396799458.

Contact Information

Pacific Physical Therapy
327 Main St,
El Segundo, CA 90245-3814
(310) 725-8505
(310) 648-3175

Map and Direction




Healthcare Provider's Profile

Full NamePacific Physical Therapy
TypeFacility
SpecialityPhysical Therapist
Location327 Main St, El Segundo, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396799458
  • Provider Enumeration Date: 05/20/2006
  • Last Update Date: 06/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4587619457
  • Enrollment ID: O20050314001147

Medical Identifiers

Medical identifiers for Pacific Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396799458NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Pacific Physical Therapy acts as a billing entity for following providers:
Provider NameMartin J Schneckenberger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972621126
PECOS PAC ID: 2668561630
Enrollment ID: I20071129000292
Provider NameChristopher P Derosa
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003056797
PECOS PAC ID: 4284653171
Enrollment ID: I20100809000858
Provider NameTami Chang
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548400245
PECOS PAC ID: 4385838796
Enrollment ID: I20101029000926
Provider NameGarret L Wong
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174840383
PECOS PAC ID: 9830363100
Enrollment ID: I20111122000886
Provider NameLianne K Koo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063799898
PECOS PAC ID: 3072788637
Enrollment ID: I20111208000781
Provider NameTroy A Davis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760535314
PECOS PAC ID: 5193744084
Enrollment ID: I20111220000881
Provider NameKelly Olin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235351586
PECOS PAC ID: 3577715036
Enrollment ID: I20121207000072
Provider NameCourtney Mitchell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821422353
PECOS PAC ID: 6305163411
Enrollment ID: I20150331000837
Provider NameWilliam L Quibell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063742617
PECOS PAC ID: 4688971625
Enrollment ID: I20160318001019
Provider NameJenna R Marshall
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598464992
PECOS PAC ID: 8729452875
Enrollment ID: I20230313002515
Provider NameSeth T Pottenger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144920331
PECOS PAC ID: 1052786092
Enrollment ID: I20230405001462
Provider NameAna M Beqaj
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073203618
PECOS PAC ID: 1254797368
Enrollment ID: I20230516001581
Provider NameChih Chieh Chia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275313637
PECOS PAC ID: 7113372673
Enrollment ID: I20231018002813
Provider NameLauren A Cheng
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407617095
PECOS PAC ID: 6901249168
Enrollment ID: I20240205004303
Provider NameDavid Xavier Portillo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982467130
PECOS PAC ID: 9931543832
Enrollment ID: I20240220000103
Provider NameDaniel Klemencic
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114781374
PECOS PAC ID: 6800231127
Enrollment ID: I20240227001052
Provider NameChristine Marie White
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396509055
PECOS PAC ID: 6103261185
Enrollment ID: I20240229001501
Provider NameKevin Cervantes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437989035
PECOS PAC ID: 3173062205
Enrollment ID: I20240903002270
Provider NameMichelle Khoshaba
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124993720
PECOS PAC ID: 7315435443
Enrollment ID: I20251021004243
Provider NameMark Mouhsen Gerges
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962370627
PECOS PAC ID: 0042700932
Enrollment ID: I20251107004331
Provider NameKelly Tyukody
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982394912
PECOS PAC ID: 3072970169
Enrollment ID: I20251120001761
Provider NameBrittnay Ualena Leon-guerrero
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801751581
PECOS PAC ID: 1951897420
Enrollment ID: I20260105002412

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pacific Physical Therapy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pacific Physical Therapy
327 Main St,
El Segundo, CA 90245-3814

Ph: (310) 725-8505
Pacific Physical Therapy
327 Main St,
El Segundo, CA 90245-3814

Ph: (310) 725-8505

Reviews and Comments


Physical Therapist in El Segundo, CA

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: Medicare Enrolled
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: Not Enrolled in Medicare
Practice Location: 111 Penn St, El Segundo, CA 90245
Phone: 310-426-9570    Fax: 310-426-9572
Tag Physical Therapy, Inc
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 111 Penn St, El Segundo, CA 90245
Phone: 310-426-9570    Fax: 310-426-9572
Lianne K Koo, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 325 Main St, El Segundo, CA 90245
Phone: 310-648-3167    Fax: 310-648-3175

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.