SMC Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SMC PHYSICAL THERAPY, INC

Practice address

8349 Reseda Blvd Ste C
Northridge, CA 91324-5912

Phone

(818) 678-9052

Fax

(855) 919-4380

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Shannon Matthew Chiongbian, PT DPTNPI 1811180441

Title

President

Phone

(818) 324-7681

Specialties & licenses 1

Addresses

Other names 2

• SMC PHYSICAL THERAPY Doing business as
• SMC PT Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Matthew Chiongbian, PT, DPT

  • Physical Therapist
  • Northridge, CA
  • NPI 1811180441
  Medicare reassignment Care Compare group NPD Authorized official
• Nancy Shanow, DPT

  • Physical Therapist
  • Stevenson Ranch, CA
  • NPI 1740936640
  Medicare reassignment Care Compare group NPD
• Sarah Siao

  • Physical Therapist
  • Westfield, IN
  • NPI 1174072516

  CA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1225613169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8349 RESEDA BLVD STE C",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245912",
            "telephone_number": "818-678-9052",
            "fax_number": "855-919-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8349 RESEDA BLVD STE C",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245912",
            "telephone_number": "818-678-9052",
            "fax_number": "855-919-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMC PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "CHIONGBIAN",
        "authorized_official_first_name": "SHANNON MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-324-7681",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMC PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMC PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Skywest Medical
• Eric Sletten, MD
• SLS Home Health Inc.
• Smart DME and Supplies, Inc
• Smart Medical Supplies
• Smile Studio la
• Brandon Smith
• Celesa Smith
• Karyn Smith
• SNH Cali Tenant LLC

• Physical Therapist in Northridge, CA
• Providers in Northridge, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.