Organization · Type 2 NPI

Shadow Management Services, Inc.

Pediatric Physical Therapist · Irvine, CA

NPI number 1780718221 Active

Practice location

45 Parker Ste C
Irvine, CA 92618-1656

Fax (949) 855-0134

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000XNone listed
Pediatric Physical Therapist Primary 2251P0200XNone listed
Sports Physical Therapist 2251S0007XNone listed
Orthopedic Physical Therapist 2251X0800XNone listed

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

Another provider at this address

About NPI 1780718221

Shadow Management Services, Inc.'s National Provider Identifier is 1780718221, issued on Mar 15, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Irvine, CA. The record was last updated on Sep 11, 2025.