Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tag Physical Therapy, Inc

Organization Physical Therapist · NPI 1063581965

Tag Physical Therapy, Inc is a Physical Therapist in El Segundo, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Penn St
El Segundo, CA 90245-3908
Phone: (310) 426-9570
Fax: (310) 426-9572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT18015 (CA)

Record details

NPI number1063581965
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melinda Garvey — Owner · (310) 426-9570
NPI enumeratedNovember 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1767, El Segundo, CA 90245-6767

Other providers in El Segundo