Christine Elizabeth Shepard, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-04879 Issued in KS

Practice address

5808 W 110TH St
Overland Park, KS 66211-2504

Phone

(913) 696-8000

Fax

(816) 302-9939

NPI assigned

Aug 4, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Christine Elizabeth Chollet Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1417366592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 GILLHAM RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641084619",
            "telephone_number": "816-701-5200",
            "fax_number": "816-302-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 W 110TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662112504",
            "telephone_number": "913-696-8000",
            "fax_number": "816-302-9939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13847 W 63rd St",
            "address_2": "Ste 2",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662163800",
            "country_code": "US",
            "telephone_number": "913-962-7774",
            "fax_number": "913-962-7775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "CHRISTINE",
        "middle_name": "ELIZABETH",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "CHOLLET",
            "middle_name": "ELIZABETH",
            "credential": "DPT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carrie Sheets, PH.D.
• Malik Zuhair Shehadeh, MD
• Sheldon Fleishman D.P.M., P.a.
• Shelton Physiatry Inc.
• Victoria Rosette Shelton
• Lashandra Shepard, LMFT
• Amanpreet Kaur Shergill
• Jill Rene Sheridan, OTR
• Keara Sherman
• Marne Sherman, PHD

• Physical Therapist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Physical Therapist in Kansas

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