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

Tammy Gail Patrick

Individual provider Physical Therapist · NPI 1063416915

Tammy Gail Patrick is a Physical Therapist in Private Practice in Fort Bragg, California. Qualified in 1981, 45 years ago. Practices with Mendocino Coast Clinics, Inc, a 20-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
45
Licensed in
CA
In the registry since
2005

Practice location Address checks out

31500 Winding Way
Fort Bragg, CA 95437-8271
Phone: (707) 964-1208
Fax: (707) 964-2269
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT11749 (CA)

Record details

NPI number1063416915
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 9, 2005
Last updated in NPPESOctober 12, 2023
Certification dateOctober 11, 2023
Mailing address31500 Winding Way, Fort Bragg, CA 95437-8271

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Mendocino Coast Clinics, Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Bragg