Active NPI
Jordan Sheppard, DPT
- Physical Therapist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13030
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13030 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkeley Rehabilitation, LLC | Physical Therapist | Current | 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.