Shadow Management Services, Inc.
NPI 1780718221ActiveOrganization· Physical Therapist, Pediatrics· Irvine, CA
Physical Therapist, Pediatrics in Irvine, California, registered in NPPES in March 2007. The authorized official on file is Jacob Aubrey Vonduering, President.
Overview
| NPI | 1780718221 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 15, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Pediatrics Primary | 2251P0200X | — | — |
| Physical Therapist | 225100000X | — | — |
| Physical Therapist, Sports | 2251S0007X | — | — |
| Physical Therapist, Orthopedic | 2251X0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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