Shepard Physical Therapy P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003162 Issued in NY

Legal business name

SHEPARD PHYSICAL THERAPY P.C.

Practice address

201 E 69TH St
Suite 2C
New York, NY 10021-5471

Phone

(212) 772-1904

Fax

(212) 772-1970

NPI assigned

Jan 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Eileen Shepard, P.T.NPI 1740357482

Title

President

Phone

(212) 772-1904

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• H&D Dynamic Physical & Occupational Therapy, PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1699926139

  O20070206000562

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eileen Ruthe Shepard, P.T.

  • Physical Therapist
  • New York, NY
  • NPI 1740357482
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417935610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 69TH ST",
            "address_2": "SUITE 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215471",
            "telephone_number": "212-772-1904",
            "fax_number": "212-772-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 69TH ST",
            "address_2": "SUITE 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215471",
            "telephone_number": "212-772-1904",
            "fax_number": "212-772-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPARD PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-772-1904",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "003162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shabari Mangalore Shenoy
• Shantheri Shenoy, M.D.
• Sheela Shenoy, M.D
• Vrinda Shenoy
• Atibha Sheoran, PA-C
• Alice R. Shepard, PHD
• Eileen Ruthe Shepard, P.T.
• Kimberlin Shepard
• Monae Shepard
• Rachael Ann Shepard, MFT-LP

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.