Marcia Jane Shepherd, M.S.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 2238 Issued in AR

Practice address

2701 T P White Dr
Jacksonville, AR 72076-2514

Phone

(501) 241-0410

Fax

(501) 241-0125

NPI assigned

Sep 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124119011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LITTLE CREEK RD",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205831",
            "telephone_number": "501-837-3120",
            "fax_number": "501-819-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 T P WHITE DR",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720762514",
            "telephone_number": "501-241-0410",
            "fax_number": "501-241-0125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Little Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Sherwood",
            "state": "AR",
            "postal_code": "721205831",
            "country_code": "US",
            "telephone_number": "501-837-3120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "MARCIA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 2238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137014721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE CROSS/BLUE SHIELD",
            "identifier": "5U878",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mattie Scott
• Amie Nicole Scroggins
• Bathsheba Seats
• Hira Ejaz Shah, M D
• Muhammad Younus Shajaat, MD
• J. Elaine Sherrill, APRN
• Laura Ann Shirley, PLMSW
• Helen G. Shirron, LCSW
• Harold Keith Short, MD
• Billy Don Shuburte, MSW

• Physical Therapist in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.