Active NPI
Adam Sheppard, PT
- Physical Therapist
- Clovis, CA
National Provider Identifier
1255672911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28926
- Practice address
- 6324 Ranger Rd
Clovis, CA 93619-8857 - Phone
- (559) 977-8919
- NPI assigned
- Mar 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 28926 | CA | Primary |
Addresses
Primary practice location
6324 Ranger Rd
Clovis, CA 93619-8857
Mailing address
6324 Ranger Rd
Clovis, CA 93619-8857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28926 | CA | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362528000000",
"number": "1255672911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6324 RANGER RD",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936198857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6324 RANGER RD",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936198857",
"telephone_number": "559-977-8919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPPARD",
"first_name": "ADAM",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-06",
"last_updated": "2013-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "28926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.