Tag Physical Therapy, Inc
LBN: Tag Physical Therapy, Inc
Tag Physical Therapy, Inc is an health care organization with primary practice located at 111 Penn St , El Segundo CA 90245-3908. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Tag Physical Therapy, Inc can be contacted via phone (310) 426-9570, or through Garvey, Melinda Gunter via phone (310) 426-9570.
Contact Information
Primary practice address
111 Penn St
El Segundo CA 90245-3908
Phone: (310) 426-9570
Fax: (310) 426-9572
Website:
Authorized official contact:
Name: Garvey, Melinda Gunter Physical Therapist (PT)
Phone: (310) 426-9570
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT18015 | California |
Profile Details
| NPI number | 1063581965 |
|---|---|
| LBN Legal business name | Tag Physical Therapy, Inc |
| DBA Doing business as | |
| Authorized official | Garvey, Melinda Gunter Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063581965 | NPPES |
| California | Other | ZZZ66790Z | BLUE SHIELD GROUP NUMBER |
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