Matthew Shong

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

10092 Issued in OH

Practice address

7720 Dudley Dr
West Chester, OH 45069-2400

Phone

(513) 779-5410

NPI assigned

Jan 30, 2023

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Novacare Rehabilitation of Ohio Inc

  • Physical Therapy Clinic/Center
  • Beechwood, OH
  • NPI 1740447895
  NPD (past)
• Rehabclinics SPT, Inc.

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Chalfont, PA
  • NPI 1952009482
  NPD (past)

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1639885056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 ANDREA DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 DUDLEY DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692400",
            "telephone_number": "513-779-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHONG",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "10092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Sherley
• Nannette Reynolds Sherman, DDS
• Kylee Jo Sherrill, RN
• Pranav B. Sheth, M. D.
• McKenna Shives
• Richard Francis Shonk, M.D.
• Amy Marie Shull, LISW-S
• Agnes Sibanda, LPN
• Omar Mahmud Siddiqi, M.D
• Natalie Siegele, MSW, LSW

• Physical Medicine & Rehabilitation Physician in West Chester, OH
• Providers in West Chester, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.