Matthew Shea

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502003093 Issued in MI

Practice address

1455 Suncrest Dr
Lapeer, MI 48446-1151

Phone

(810) 664-8571

NPI assigned

Mar 18, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1154957447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 MILFORD CT APT 13",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231667",
            "telephone_number": "810-874-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 SUNCREST DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461151",
            "telephone_number": "810-664-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502003093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Harrison Shannon, MA, LLPC
• Sharma Clinic PLLC
• Shikha Sharma, M.D.
• Vishnu Kant Sharma, MD
• Valerie Shaw
• Isabella Sheena, PA-C
• Sarah M Shelton, LMSW, ACSW, CAC-I
• Bruce Kelvin Sherman, D.C.
• Gloria Sherman
• Marissa Sherry

• Physical Therapy Assistant in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.