Shannon Sepulveda, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2409 Issued in MT

Legal business name

SHANNON SEPULVEDA, DPT

Practice address

115 W Kagy Blvd Ste D
Bozeman, MT 59715-6043

Phone

(631) 434-5274

Fax

(406) 272-3404

NPI assigned

Aug 2, 2017

Last updated

Nov 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon SepulvedaNPI 1215216536

Title

Member

Phone

(631) 434-5274

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Eileen Sepulveda, DPT

  • Physical Therapist
  • Bozeman, MT
  • NPI 1215216536
  NPD Authorized official

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1275057192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 HENDERSON ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597157103",
            "telephone_number": "631-434-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W KAGY BLVD STE D",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156043",
            "telephone_number": "631-434-5274",
            "fax_number": "406-272-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON SEPULVEDA, DPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "SEPULVEDA",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "631-434-5274"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Sexson, LCPC, LAC
• Shadowlands Couples Therapy, PLLC
• Colleen Shaler, LCSW
• Shaneyfelt Gastroenterology, PC
• Steven Lyle Rowley Shaneyfelt, MD
• Shannon Setzer M.D., P.C. (Big Sky Dermatology)
• Arnold Shapiro, MD
• Manisha Sharma, LPC
• Cindy K Sharp, MD
• Hope Sharr

• Physical Therapist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.