Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew M Shiomichi, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1093060311

Matthew M Shiomichi, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in North Chesterfield, Virginia. Qualified in 2012, 14 years ago. Practices with Virginia Ear Nose and Throat Associates PC, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
14
Licensed in
MD, VA
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

161 Wadsworth Dr
North Chesterfield, VA 23236-4500
Phone: (804) 484-3700
Fax: (804) 320-6462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3540 Mayland Ct, Henrico, VA 23233 — (804) 484-3700

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305213888 (VA)
Physical Therapist Taxonomy 225100000X · Licence 24103 (MD)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 24103 (MD)

Record details

NPI number1093060311
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedJuly 24, 2012
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Virginia Ear Nose And Throat Associates Pc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in North Chesterfield