Melinda Gunter Garvey, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT18015 Issued in CA

Practice address

111 Penn St
El Segundo, CA 90245-3908

Phone

(310) 426-9570

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tag Physical Therapy IncGroup PAC ID 6103834171, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tag Physical Therapy, Inc

  • Physical Therapist
  • El Segundo, CA
  • NPI 1063581965
  Medicare reassignment Care Compare group NPD Authorized official
• Manhattan Beach Pacific Physical Therapy Inc

  dba Pacific Physical Therapy

  • Physical Therapist
  • El Segundo, CA
  • NPI 1396799458
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831268739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 20TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662919",
            "telephone_number": "310-426-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PENN ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453908",
            "telephone_number": "310-426-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVEY",
        "first_name": "MELINDA",
        "middle_name": "GUNTER",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT18015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "ZZZ66790Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aneessa Garrett
• Jessica Garrett
• Dawn Garrigus
• Jazmyn Garrity
• Jackson Garvey
• Cecilia Garza
• Gabriela Garza
• Julian Garza
• Melisa Garza
• Emma Gastelum

• Physical Therapist in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.