MEDICARE: MATTHEW SHAPIRO DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	PT40616	FL

General Provider Information

NPI Number	:	1578341350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW SHAPIRO DPT

Provider Business Mailing Address
First Line	:	800 N HOWARD AVE UNIT 221
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-1077
Country	:	US
Telephone Number	:	954-670-6332
Fax Number	:

Provider Business Practice Location Address
First Line	:	8708 W HILLSBOROUGH AVE STE 102
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-3719
Country	:	US
Telephone Number	:	954-670-6332
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2023
Last Update Date	:	09/21/2023

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