PHILLIP EDWIN JR. SEGURA – Physical Therapist, NPI 1972138535

PHILLIP EDWIN JR. SEGURA is a healthcare provider. based in Salem, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 1977 (OR). The NPI Number for PHILLIP EDWIN JR. SEGURA is 1972138535

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP EDWIN JR. SEGURA
NPI
1972138535
Phone
Not provided
Address
PO BOX 13129
Enumeration Date
4 March 2020
Last Update Date
4 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5038381182
Graduation Year
1989 (37 years ago)
PAC ID
6103257621
Group Practice PAC ID
8628986668
Professional Enrollment ID
I20200515001494
Address ID
OR973612370MO512XXEXXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for PHILLIP EDWIN JR. SEGURA

  • PO BOX 13129

    SALEM, OR 973091129

    Phone:

    Type: Mailing

  • 512 MAIN ST E

    MONMOUTH, OR 973612369

    Phone: (503) 838-1388

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-05-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200515001494IPhysical Therapist In Private PracticeORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes24631$0
97140Therapy procedure using manual technique, each 15 minutes12815$0
97163Evaluation for physical therapy, typically 45 minutes3025$0
View full utilization report →

Insurance plans in this area (ZIP 97309)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628986668View full group profile
NameSpecialtyState
-OR
U R O L O G YOR
Physician AssistantOR
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YMT
Family PracticeOR
Plastic And Reconstructive SurgeryOR
Nurse PractitionerOR
A N E S T H E S I O L O G YWA
-OR

Reviews

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Frequently asked questions

What identifier follows PHILLIP EDWIN JR. SEGURA across health systems?
The NPI 1972138535 uniquely identifies PHILLIP EDWIN JR. SEGURA in U.S. healthcare data.
Is PHILLIP EDWIN JR. SEGURA's NPI status active today?
Active status means PHILLIP EDWIN JR. SEGURA's NPI record is not deactivated in the public file.
Which specialty label fits PHILLIP EDWIN JR. SEGURA?
NPPES ties PHILLIP EDWIN JR. SEGURA to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is PHILLIP EDWIN JR. SEGURA tied to Salem, Oregon?
If you are local to Salem, Oregon, PHILLIP EDWIN JR. SEGURA may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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