Active NPI
Amy Joy Shepley, P.T.
- Pediatric Physical Therapist
- Winchester, VA
National Provider Identifier
1275790024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 2305003060
- 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, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2305003060 | VA | MD | Pediatric 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
- Shenandoah Valley Medical System, Inc. (Winchester Family Health Center)
- Shenandoah Valley Medical System, Inc. (Shenandoah Pharmacy-Winchester)
- Shenandoah Valley Orthodontic Specialists, PC
- Shenandoah Valley Pathology Laboratories Inc
- Colleen Shendow
- James Alexander Shepley
- Katlyn Shepley, PA-C
- Joshua Sheppard, RBT
- Serene Shereef, M.D.
- Kelly Marie Sheridan, LMFT
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.