Individual provider Active NPI

Jordan Sheppard, DPT

  • Physical Therapist
  • Charleston, SC
National Provider Identifier
1578449633
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13030 Issued in SC
Practice address
1954 Ashley River Rd Ste E
Charleston, SC 29407-4904
Phone
(843) 761-1480
Fax
(843) 761-1481
NPI assigned
Aug 14, 2025
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13030 SC Primary

Addresses

Primary practice location

1954 Ashley River Rd Ste E
Charleston, SC 29407-4904

Mailing address

1954 Ashley River Rd Ste E
Charleston, SC 29407-4904
Phone (843) 761-1480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250915001122 SC Practitioner - Physical Therapist in Private Practice 0648773614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkeley Rehabilitation LLCGroup PAC ID 1850714379, 7 clinicians

Practice addresses (Care Compare)

1954 Ashley River Rd
Suite E
Charleston, SC 29407-4904
Phone (843) 761-1480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13030SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Rehabilitation, LLC Physical Therapist CurrentSince Aug 17, 2025 Accepting new patients

Locations

1954 Ashley River Rd
Ste E
Charleston, SC 29407
Phone (843) 751-1480

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

2070 Northbrook Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 608-8798

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1578449633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 ASHLEY RIVER RD STE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074904",
            "telephone_number": "843-761-1480",
            "fax_number": "843-761-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 ASHLEY RIVER RD STE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074904",
            "telephone_number": "843-761-1480",
            "fax_number": "843-761-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "JORDAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "13030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.