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

Tate Besougloff

Individual provider Physical Therapist · NPI 1639806417

Tate Besougloff is a Physical Therapist in Private Practice in Marysville, Washington. Qualified in 2022, 4 years ago. Practices with Select Cal Physical Therapy PC, a 161-clinician group and works from 2 locations. Licensed in California and Washington.

Years since qualifying
4
Licensed in
CA, WA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1242 State Ave Ste A
Marysville, WA 98270-3672
Phone: (360) 572-5800
Fax: (360) 454-9043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20 Ohlone Pkwy Ste D, Watsonville, CA 95076-3767 — (831) 724-8235

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (WA)
Physical Therapist Taxonomy 225100000X · Licence 303980 (CA)

Record details

NPI number1639806417
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 2, 2022
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Select Cal Physical Therapy Pc — 161 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Marysville