Sam A Sheppard, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10325 Issued in SC

Practice address

145 River Landing Dr Unit 101a
Daniel Island, SC 29492-8612

Phone

(843) 834-6406

NPI assigned

Jul 18, 2017

Last updated

Jan 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Rehab Docs

  • Physical Therapist
  • Daniel Island, SC
  • NPI 1093457046
  NPD Authorized official
• Rehabilitation Centers of Charleston

  • Physical Therapist
  • Johns Island, SC
  • NPI 1942414305
  NPD (past)

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1124541537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 RIVER LANDING DR UNIT 101A",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928612",
            "telephone_number": "843-834-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 RIVER LANDING DR UNIT 101A",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928612",
            "telephone_number": "843-834-6406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 River Rd",
            "address_purpose": "LOCATION",
            "city": "Cos Cob",
            "state": "CT",
            "postal_code": "068072759",
            "country_code": "US",
            "telephone_number": "203-422-0679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1063 Hope St",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069072109",
            "country_code": "US",
            "telephone_number": "203-324-2878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "SAM",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040635",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC STATE LICENSE",
            "identifier": "10325",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kareo",
            "affiliation": "N",
            "address_1": "145 River Landing Dr Unit 101A",
            "city": "Daniel Island",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294928612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bridget Lisa Schmidt, LISW-CP
• Jaime Schmidt
• Susan Schwartz, PT
• Seaside Physical Therapy, LLC
• Kelly Lynn Shannon, DPT
• Matthew Ryan Shiver, PT, DPT
• Carolyn Wong Simpkins, M.D.
• Shawn Philip Singletary, DPT
• SLP Bridge, LLC
• Sydney Jimenez Soldner, DMD

• Physical Therapist in Daniel Island, SC
• Providers in Daniel Island, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.