Active NPI
Taylor Shepherd, DPT
- Physical Therapist
- Herriman, UT
National Provider Identifier
1003747015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14289199-2401
- Practice address
- 11962 S Anthem Park Blvd Ste 250
Herriman, UT 84096-5732 - Phone
- (385) 473-6438
- Fax
- (801) 613-2909
- NPI assigned
- May 27, 2026
- Last updated
- May 27, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14289199-2401 | UT | Primary |
Addresses
Primary practice location
11962 S Anthem Park Blvd Ste 250
Herriman, UT 84096-5732
Mailing address
1628 W 11010 S Ste 101
South Jordan, UT 84095-1278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1628 W 11010
Suite 101
South Jordan, UT 84095-1278
PO Box
Suite 111
Moultrie, GA 31776-0111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14289199-2401 | UT | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- South Jordan, UT
- NPI 1194318907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1003747015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1628 W 11010 S STE 101",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840951278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11962 S ANTHEM PARK BLVD STE 250",
"city": "HERRIMAN",
"state": "UT",
"postal_code": "840965732",
"telephone_number": "385-473-6438",
"fax_number": "801-613-2909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "TAYLOR",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-27",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "14289199-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herriman, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.