Active NPIIndividual providerSole proprietor

Mr. Matthew I Shohen, PT

Physical Therapist, Sports in Sparta, New Jersey

NPI Number1669524146
Practice location
13 Ponderosa Trl, Sparta, NJ 07871-3229
Fax
—
Last updated
December 23, 2022

Matthew I Shohen is a Physical Therapist, Sports based in Sparta, NJ. Matthew I Shohen practices in Sparta, NJ and has the professional credentials of PT. The NPI Number for Matthew I Shohen is 1669524146 and holds a License No. 40QA01417800 (NJ). The current practice location address for Matthew I Shohen is 13 Ponderosa Trl, Sparta, NJ 07871-3229 and can be reached out via phone at 201-452-8703.

Provider Profile Details

NPI Number
1669524146
Provider Name
Matthew I Shohen
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
13 Ponderosa Trl, Sparta, NJ 07871-3229
Phone Number
201-452-8703
Primary Taxonomy
Physical Therapist, Sports · 2251S0007X
Sole Proprietor
Yes
Provider Enumeration Date
January 17, 2007
Last Update Date
December 23, 2022
Certification Date
December 23, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
13 Ponderosa Trl
Sparta, NJ 07871-3229
City
Sparta
Zip
07871-3229
Phone Number
201-452-8703
Sparta, NJ 07871Get directions →

Provider Business Mailing Address Details

Address
13 Ponderosa Trl
Sparta, NJ 07871-3229
City
Sparta
State
NJ
Zip
07871-3229
Phone Number
201-452-8703

License Information

License Number
40QA01417800
License State
NJ
Taxonomy
Physical Therapist, Sports · 2251S0007X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Matthew I Shohen, PT?

The NPI number of Mr. Matthew I Shohen, PT is 1669524146. It was assigned on January 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Matthew I Shohen, PT?

Mr. Matthew I Shohen, PT is registered under the primary taxonomy Physical Therapist, Sports (code 2251S0007X), licensed in NJ under license number 40QA01417800.

Where does Mr. Matthew I Shohen, PT practice?

The practice location is 13 Ponderosa Trl, Sparta, NJ 07871-3229. The office can be reached at 201-452-8703 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669524146 directly on the NPPES registry website.

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