Tag Physical Therapy, Inc - Medicare Physical Therapist in El Segundo, CA

  1. Home
  2. Physical Therapists
  3. CA
  4. El Segundo
Tag Physical Therapy, Inc is a medicare enrolled "Physical Therapist" provider in El Segundo, California. Their current practice location is 111 Penn St, El Segundo, California. You can reach out to their office (for appointments etc.) via phone at (310) 426-9570.

Tag Physical Therapy, Inc is licensed to practice in California (license number PT18015) and it also participates in the medicare program. Tag Physical Therapy, Inc 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 1063581965.

Contact Information

Tag Physical Therapy, Inc
111 Penn St,
El Segundo, CA 90245-3908
(310) 426-9570
(310) 426-9572

Map and Direction




Healthcare Provider's Profile

Full NameTag Physical Therapy, Inc
TypeFacility
SpecialityPhysical Therapist
Location111 Penn 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: 1063581965
  • Provider Enumeration Date: 11/06/2006
  • Last Update Date: 08/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6103834171
  • Enrollment ID: O20060403000226

Medical Identifiers

Medical identifiers for Tag Physical Therapy, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063581965NPI-NPPES
ZZZ66790ZOtherCABLUE SHIELD GROUP NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT18015 (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. Tag Physical Therapy, Inc acts as a billing entity for following providers:
Provider NameKathleen M Lowes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194936252
PECOS PAC ID: 3678514650
Enrollment ID: I20050519000788
Provider NameCatherine M Tarte
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497824080
PECOS PAC ID: 1658389622
Enrollment ID: I20060403000245
Provider NameMelinda G Garvey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831268739
PECOS PAC ID: 3375551344
Enrollment ID: I20060403000267
Provider NameElizabeth R Glozman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053480616
PECOS PAC ID: 9133137102
Enrollment ID: I20060403000280
Provider NameLaura D Hayden Frantz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518008895
PECOS PAC ID: 7618035247
Enrollment ID: I20081024000643
Provider NameAndre K Jarrahzadeh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205245792
PECOS PAC ID: 9931328580
Enrollment ID: I20140915001370
Provider NameNicole Ariel Bartels
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700396785
PECOS PAC ID: 9436425048
Enrollment ID: I20171026002540
Provider NameAlison Grace Ramos
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740708668
PECOS PAC ID: 2264795301
Enrollment ID: I20180424001372
Provider NameAndrew Meyer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326548413
PECOS PAC ID: 9739515354
Enrollment ID: I20200130000609
Provider NameLisa Zhao Alletto
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275165193
PECOS PAC ID: 9931537115
Enrollment ID: I20200323000499
Provider NameRaymond Mullen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982148953
PECOS PAC ID: 3577992973
Enrollment ID: I20200407000255
Provider NameMonica Suzanne Merkovsky
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750167367
PECOS PAC ID: 8820443641
Enrollment ID: I20231016000503
Provider NameDiana Yvonne Mendez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306536511
PECOS PAC ID: 0749635498
Enrollment ID: I20231016001913
Provider NameAndrea Gorelick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811412646
PECOS PAC ID: 6103272612
Enrollment ID: I20231019001526
Provider NameAlyssa Manami Koda
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932958030
PECOS PAC ID: 1759823669
Enrollment ID: I20240606003491
Provider NameLauren Kai
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205684503
PECOS PAC ID: 9830631746
Enrollment ID: I20240606003528
Provider NameAriel Marie Santiago Codilla
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134950546
PECOS PAC ID: 7315486412
Enrollment ID: I20240903001132

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. Tag Physical Therapy, Inc 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
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

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: 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    

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.