NPIMap

Organization Active NPI

Shadow Management Services, Inc.

Doing business as MVP Physical Therapy

  • Pediatric Physical Therapist
  • Irvine, CA
National Provider Identifier
1780718221
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
SHADOW MANAGEMENT SERVICES, INC.
Doing business as
MVP Physical Therapy
Practice address
45 Parker Ste C
Irvine, CA 92618-1656
Phone
(949) 855-0100
Fax
(949) 855-0134
NPI assigned
Mar 15, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Jacob Aubrey Vonduering
Title
President
Phone
(949) 855-0100

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Pediatric Physical Therapist 2251P0200X NU Primary
Sports Physical Therapist 2251S0007X NU
Orthopedic Physical Therapist 2251X0800X NU

Addresses

Primary practice location

45 Parker Ste C
Irvine, CA 92618-1656

Mailing address

45 Parker Ste C
Irvine, CA 92618-1656
Phone (949) 855-0100

Other names 1

  • MVP Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

45 Parker
Ste C
Irvine, CA 92618
Phone (949) 280-0861

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1780718221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PARKER STE C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181656",
            "telephone_number": "949-855-0100",
            "fax_number": "949-855-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PARKER STE C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181656",
            "telephone_number": "949-855-0100",
            "fax_number": "949-855-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADOW MANAGEMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "VONDUERING",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "AUBREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-855-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MVP Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.