Physician Compare National (NPI:1104903426)

HEALTHCARE PROVIDER: MATTHEW A SHIFFLER MPT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1104903426
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8022195585
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080408000423
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHIFFLER
	Individual professional last name
Provider First Name	MATTHEW
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1187 S MAIN ST
	Group Practice or individual's line 1 address
City	WOODSTOCK
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	226641015
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y