Evan Segimoto, DPT | |
15623 1st Ave S Ste C, Burien, WA 98148-1292 | |
(206) 444-6320 | |
(206) 444-6302 |
Full Name | Evan Segimoto |
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Gender | Male |
Speciality | Physical Therapist |
Location | 15623 1st Ave S Ste C, Burien, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316768260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | PT61563462 (Washington) | Primary |
Provider Name | Advance Physical Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598725798 PECOS PAC ID: 6204934243 Enrollment ID: O20070614000274 |
Mailing Address | Practice Location Address |
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Evan Segimoto, DPT 15623 1st Ave S Ste C, Burien, WA 98148-1292 Ph: (206) 444-6320 | Evan Segimoto, DPT 15623 1st Ave S Ste C, Burien, WA 98148-1292 Ph: (206) 444-6320 |
Mr. Pierre-yves Frederic Butheau, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15034 5th Ln S, Burien, WA 98148 Phone: 425-281-4171 | |
Sean Masterson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 16259 Sylvester Rd Sw Ste 102, Burien, WA 98166 Phone: 206-242-5186 | |
Mr. Michael David Blackledge, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 Phone: 206-327-9880 | |
Mr. Craig Jerome Kopet, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16259 Sylvester Rd Sw, Suite 102, Burien, WA 98166 Phone: 206-242-5186 Fax: 206-241-8467 | |
Aubrey L Scheffel, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16222 Sylvester Rd Sw, Burien, WA 98166 Phone: 206-631-6000 |