Donald V Shepard, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00002524 Issued in WA

Practice address

2701 Clare Ave
Bremerton, WA 98310-3313

Phone

(360) 377-3951

Fax

(360) 377-5443

NPI assigned

Jun 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316142086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631",
            "address_2": "1130 11TH AVE.",
            "city": "FOX ISLAND",
            "state": "WA",
            "postal_code": "983330631",
            "telephone_number": "253-222-5937",
            "fax_number": "360-377-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 CLARE AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103313",
            "telephone_number": "360-377-3951",
            "fax_number": "360-377-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "DONALD",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00002524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Shdo
• Michelle Terese Shea, LICSW
• Ari Sheffield
• Emmy Shelby, RN
• Jessica Annette Shelden, RN
• Rebecca Jane Shepard
• Lacee Shephard
• Kassidy Ann Shepherd
• Anthony Michael Sheppard
• Sevy Sheppard

• Occupational Therapist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.