Individual provider Active NPI

Amy Joy Shepley, P.T.

  • Pediatric Physical Therapist
  • Winchester, VA
National Provider Identifier
1275790024
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
2305003060 Issued in VA
Practice address
409 Tamarack Cir
Winchester, VA 22602-6749
Phone
(540) 550-5269
Fax
(540) 667-7621
NPI assigned
May 20, 2008
Last updated
Sep 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305003060 VA
Pediatric Physical Therapist 2251P0200X 2305003060 VA Primary

Addresses

Primary practice location

409 Tamarack Cir
Winchester, VA 22602-6749

Mailing address

409 Tamarack Cir
Winchester, VA 22602-6749
Phone (540) 550-5269

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

LicenseStateTypeSpecialty
2305003060VAMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1275790024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 TAMARACK CIR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226026749",
            "telephone_number": "540-550-5269",
            "fax_number": "540-667-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 TAMARACK CIR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226026749",
            "telephone_number": "540-550-5269",
            "fax_number": "540-667-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPLEY",
        "first_name": "AMY",
        "middle_name": "JOY",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305003060",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "VA",
            "license": "2305003060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.