Katherine Marie Shephard, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10446 Issued in MN

Practice address

1939 Minnehaha Ave W Ste 100
Saint Paul, MN 55104-1033

Phone

(651) 348-7428

Fax

(651) 348-7432

NPI assigned

May 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier OBGYN of Minnesota PLLCGroup PAC ID 1355396110, 88 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.24 of 100Reported as group

Quality

86.35

Promoting interoperability

100

Improvement activities

40

Cost

71.1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katherine.shephard.1@20897.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier OBGYN of Minnesota PLLC

  • Obstetrics & Gynecology Physician
  • Edina, MN
  • NPI 1801946223
  Medicare reassignment Care Compare group NPD
• New Normal PT

  • Physical Therapy Clinic/Center
  • Falcon Heights, MN
  • NPI 1366031668
  NPD Authorized official
• Allina Health System

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD (past)
• Metropolitan Obstetrics & Gynecology

  • Obstetrics & Gynecology Physician
  • St Paul, MN
  • NPI 1659355741
  NPD (past)

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1033646922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 HOLTON ST",
            "city": "FALCON HEIGHTS",
            "state": "MN",
            "postal_code": "551136224",
            "telephone_number": "651-792-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 MINNEHAHA AVE W STE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041033",
            "telephone_number": "651-348-7428",
            "fax_number": "651-348-7432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1790 Holton St",
            "address_purpose": "LOCATION",
            "city": "Falcon Heights",
            "state": "MN",
            "postal_code": "551136224",
            "country_code": "US",
            "telephone_number": "651-300-9079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHARD",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anab Sheikhabdi
• Sheila Thomas, M.a.L.P., PLLC
• Adam Sheka, M.D.
• Shelley S. Berven and Associates, LLC
• Jonathan David Shelver, M.D.
• Megan Shepherd, PT
• Molly Young Sheppard, LICSW
• Sherburne Recovery Services LLC
• Kevin J Sheridan, MD
• Gayle Sherman Crandell, M.A.

• Physical Therapist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.

Verify at the official NPI Registry.