Jason Oliver Shepardson, DPT, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

294141 Issued in CA

Practice address

952 Kennedy Dr Apt B
Capitola, CA 95010-2372

Phone

(408) 348-1893

NPI assigned

Nov 28, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shepardson Physical Therapy CorporationGroup PAC ID 9032659636, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Shepardson Physical Therapy Corporation

  • Physical Therapy Clinic/Center
  • San Jose, CA
  • NPI 1497593602

  CA

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1235643370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 KENNEDY DR APT B",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102372",
            "telephone_number": "408-348-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 KENNEDY DR APT B",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102372",
            "telephone_number": "408-348-1893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2505 Cabrillo College Dr",
            "address_purpose": "LOCATION",
            "city": "Aptos",
            "state": "CA",
            "postal_code": "950033166",
            "country_code": "US",
            "telephone_number": "831-464-3901",
            "fax_number": "831-464-3010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPARDSON",
        "first_name": "JASON",
        "middle_name": "OLIVER",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-28",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "294141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jasonoshepardson@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "952 Kennedy Dr Apt B",
            "city": "Capitola",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950102372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Rutu Digantkumar Shah, MD
• Karuna Sharma, MD
• Reema Shivani
• Esther Noemi Sican
• Gina M Siclari, PA-C
• Michael Arthur Siegel, PT
• Rachel Silver

• All providers in Capitola, CA
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.