Jay R Shepherd, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17223 Issued in MD

Practice address

19851 Observation Dr Ste 450
Germantown, MD 20876-4148

Phone

(301) 977-6777

Fax

(301) 977-0108

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 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.

• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Olney, MD
  • NPI 1487093167
  Medicare reassignment Care Compare group NPD
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Manassas, VA
  • NPI 1265871958

  DC, Physical Therapist

  Medicare reassignment NPD
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Silver Spring, MD
  • NPI 1386083137
  NPD
• Centers for Advanced Orthopaedics, LLC

  • Durable Medical Equipment & Medical Supplies
  • Catonsville, MD
  • NPI 1558600924

  Physical Therapist

  NPD
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Gainesville, VA
  • NPI 1063393833
  NPD
• Centers for Advanced Orthopaedics LLC

  • Durable Medical Equipment & Medical Supplies
  • Rockville, MD
  • NPI 1295614238
  NPD (past)
• Potomac Valley Sports Medicine

  • Orthopedic Physical Therapist
  • Olney, MD
  • NPI 1184770117
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1275622011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19851 OBSERVATION DR STE 450",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764148",
            "telephone_number": "301-977-6777",
            "fax_number": "301-977-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19851 OBSERVATION DR STE 450",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764148",
            "telephone_number": "301-977-6777",
            "fax_number": "301-977-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "JAY",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "17223",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Mackenzie Shea, PA-C
• Lakisha Moniq Shears, LCSW-C
• Peter Sheehan, MD,
• Sheida Larijani,DDS,PC
• Jamshid Sheikh, MD
• Jordan Sheppard
• Kenny Shih
• Mihae Shin- Diep, CRNP
• Robert Shirley
• Sarah Nell Shomper, PA-C

• Physical Therapist in Germantown, MD
• Providers in Germantown, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.