Karen Wilson Shepherd, PTA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTA680 Issued in AL

Practice address

3947 Gulf Shores Pkwy Ste 260
Gulf Shores, AL 36542-2729

Phone

(251) 943-0803

Fax

(251) 943-4403

NPI assigned

Jul 10, 2007

Last updated

Sep 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1033317235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3947 GULF SHORES PKWY STE 260",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365422729",
            "telephone_number": "251-943-0803",
            "fax_number": "251-943-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "KAREN",
        "middle_name": "WILSON",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "A01003",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTA680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seagrass Village of Gulf Shores
• James V Shamburger, DMD
• Chad Arthur Sharkey, DC
• Lucretia Shedeck, RDMS, RVT
• Casey Shell, DC
• Kathleen T. Shine, M.D.
• Turner Shirley
• Christopher Blake Shoemaker, PHARMD
• Emily Sikes
• Anna Kay Smith, MA, ALC

• Physical Therapist in Gulf Shores, AL
• Providers in Gulf Shores, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.