SHADOW MANAGEMENT SERVICES INC. NPI 1780718221

NPI Information

  • NPI: 1780718221
  • Provider Name: SHADOW MANAGEMENT SERVICES, INC.
  • Classification: Physical Therapist - 2251P0200X
  • Specialization: Pediatrics
  • Entity Type: Organization
  • :
  • Address: 45 PARKER STE C
    IRVINE, CA
    ZIP 92618
  • Phone: (949) 855-0100

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NPI Details

SHADOW MANAGEMENT SERVICES, INC. is a pediatrics physical therapist in Irvine, CA. The provider is 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 therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. SHADOW MANAGEMENT SERVICES, INC. NPI is 1780718221. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

45 PARKER STE C
IRVINE, CA
ZIP 92618-656
Phone: (949) 855-0100
Fax: (949) 855-0134

The provider's authorized official is Jacob Aubrey Vonduering .
The authorized official title is President and has the following contact phone number (949) 855-0100.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistNo
22251S0007XPhysical TherapistSportsNo
32251X0800XPhysical TherapistOrthopedicNo
42251P0200XPhysical TherapistPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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