Stephen Shepherd, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008456 Issued in KY

Practice address

490 W Lincoln Trail Blvd
Radcliff, KY 40160-2047

Phone

(270) 352-1061

NPI assigned

Dec 21, 2021

Last updated

Aug 17, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Kentucky College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Associates, IncGroup PAC ID 4880591270, 17 clinicians

Practice addresses (Care Compare)

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.

• Physical Therapy Associates, Inc

  • Physical Therapist
  • Elizabethtown, KY
  • NPI 1336246412
  Medicare reassignment Care Compare group NPD
• Physical Therapy Associates Inc

  • Physical Therapist
  • Mt Washington, KY
  • NPI 1902770530
  NPD
• Physical Therapy Associates, Inc

  • Physical Therapist
  • Radcliff, KY
  • NPI 1992911960
  NPD

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1255091047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 WESTPORT RD STE A",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427013832",
            "telephone_number": "270-234-1569",
            "fax_number": "270-234-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 W LINCOLN TRAIL BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602047",
            "telephone_number": "270-352-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "STEPHEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-21",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kayla Shafer, BCABA
• Angela Reese Shelton, D.M.D.
• Brooke Elizabeth Shelton, DMD
• Shiloh City of Peace Foundation Inc (Guardianship Services of Kentucky)
• Dawnita Michell Shively, BCBA
• Show-N-Tell Beauty & Suite Salon
• Matthew James Simmons, PT, DPT
• Anita Francesella Simpson, APRN FNP

• Physical Therapist in Radcliff, KY
• Providers in Radcliff, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.