Charles Shepherd

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

3417 18TH St NE
Washington, DC 20018-2721

Phone

(202) 629-2917

Fax

(202) 629-2797

NPI assigned

Mar 23, 2023

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Bradley & Associates, LLC

  dba Restoration Community Alliance

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1679046353
  NPD
• Bradley & Associates, LLC

  dba Restoration Community Alliance

  • Case Management Agency
  • Washington, DC
  • NPI 1861128332
  NPD

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1144923723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 45TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200194614",
            "telephone_number": "202-883-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 18TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182721",
            "telephone_number": "202-629-2917",
            "fax_number": "202-629-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "CHARLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Shephard, CD(CHB), CLC
• Shepherd Park Children's Academy LLC
• Shepherd Park Medical Center
• Brenda Shepherd-Vernon, LICSW
• Beatriz Shepherd
• Keonna Renee Shepherd
• Kyra Shepherd
• Melvin Shepherd Jr.
• Sadatrious Shepherd
• Shana Shepherd

• Occupational Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Occupational Therapist in District of Columbia

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