DR. PHILIP AURELIO SECONDEZ (DPT) – Physical Therapist, NPI 1770182685

DR. PHILIP AURELIO SECONDEZ (DPT) is a healthcare provider. based in Tukwila, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 61065289 (WA). The NPI Number for DR. PHILIP AURELIO SECONDEZ (DPT) is 1770182685

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILIP AURELIO SECONDEZ (DPT)
NPI
1770182685
Phone
(415) 312-7574
Address
4802 S RYAN WAY
Enumeration Date
21 October 2020
Last Update Date
21 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2538534000
Graduation Year
2020 (6 years ago)
PAC ID
7810301405
Group Practice PAC ID
9436573177
Professional Enrollment ID
I20210121002017
Address ID
WA983328809GI5160XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for DR. PHILIP AURELIO SECONDEZ (DPT)

  • 4802 S RYAN WAY

    TUKWILA, WA 981782035

    Phone: (415) 312-7574

    Type: Mailing

  • 3221 EASTLAKE AVE E STE 110

    SEATTLE, WA 981027125

    Phone: (206) 641-3272

    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: 2021-01-21

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
I20210121002017IPhysical Therapist In Private PracticeWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98178)

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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: 9436573177View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

Does DR. PHILIP AURELIO SECONDEZ (DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. PHILIP AURELIO SECONDEZ (DPT) uses 1770182685.
Is DR. PHILIP AURELIO SECONDEZ (DPT) still practicing?
DR. PHILIP AURELIO SECONDEZ (DPT) is currently listed as active in the public NPI registry.
What is DR. PHILIP AURELIO SECONDEZ (DPT) best known for clinically?
Directory data describes DR. PHILIP AURELIO SECONDEZ (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. PHILIP AURELIO SECONDEZ (DPT) on a map?
Expect Tukwila, Washington as a primary anchor for DR. PHILIP AURELIO SECONDEZ (DPT) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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