Evan Segimoto, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61563462 Issued in WA

Practice address

15623 1St Ave S Ste C
Burien, WA 98148-1292

Phone

(206) 444-6320

Fax

(206) 444-6302

NPI assigned

Oct 23, 2024

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Advance Physical Therapy IncGroup PAC ID 6204934243, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advance Physical Therapy Inc

  • Physical Therapist
  • Burien, WA
  • NPI 1598725798
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1316768260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15623 1ST AVE S STE C",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481292",
            "telephone_number": "206-444-6320",
            "fax_number": "206-444-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15623 1ST AVE S STE C",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481292",
            "telephone_number": "206-444-6320",
            "fax_number": "206-444-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGIMOTO",
        "first_name": "EVAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61563462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seahurst Chiropractic Clinic Inc.
• Seahurst Dental Design PLLC
• Seahurst Pediatrics PLLC
• Seatac Burien Chiropractic (SeaTac Burien Massage Therapy)
• Seattle Heart and Vascular Institute PLLC
• Charmaine Marie Seguel, OTR/L
• Seneca Family of Agencies (Seneca Burien)
• Tyler Skye Settle
• Patricia Diane Sewell, PH.D
• Avni Narendra Shah, PHARM-D

• Physical Therapist in Burien, WA
• Providers in Burien, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.