Individual provider Active NPI

Shawn Steven Segulin, LPT

  • Physical Therapist
  • Chagrin Falls, OH
National Provider Identifier
1780945352
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
09269 Issued in OH
Practice address
34 W Washington St
Chagrin Falls, OH 44022-3026
Phone
(440) 247-2644
Fax
(440) 247-0131
NPI assigned
May 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 09269 OH Primary

Addresses

Primary practice location

34 W Washington St
Chagrin Falls, OH 44022-3026

Mailing address

34 W Washington St
Chagrin Falls, OH 44022-3026
Phone (440) 247-2644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130116000366 OH Practitioner - Physical Therapist in Private Practice 0446403778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patrick T Hergenroeder MD IncGroup PAC ID 9638274426, 2 clinicians

Practice addresses (Care Compare)

34 W Washington St
Chagrin Falls, OH 44022-3026
Phone (440) 466-6333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09269OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Focused Specialty Services LLC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1780945352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 W WASHINGTON ST",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440223026",
            "telephone_number": "440-247-2644",
            "fax_number": "440-247-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 W WASHINGTON ST",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440223026",
            "telephone_number": "440-247-2644",
            "fax_number": "440-247-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGULIN",
        "first_name": "SHAWN",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "09269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.