IndividualActive
Matthew Shohen, P.T.
NPI 1669524146 · Sports Physical Therapist · Sparta, NJ
Provider details
- NPI number
- 1669524146
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 40QA01417800 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
13 Ponderosa Trl
Sparta, NJ 07871-3229
Phone: (201) 452-8703
Approximate (ZIP-level) locationGet directions
Mailing address
13 Ponderosa Trl
Sparta, NJ 07871-3229
Registry dates
- Enumerated
- 2007-01-17
- Last updated
- 2022-12-23
- Certified
- 2022-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.