Individual provider Active NPI

Sophie Shephard

  • Physical Therapist
  • Canonsburg, PA
National Provider Identifier
1629905823
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT029489 Issued in PA
Practice address
1159 Bayberry Dr
Canonsburg, PA 15317-4992
Phone
(724) 585-8145
NPI assigned
May 4, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2026

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 PT029489 PA Primary

Addresses

Primary practice location

1159 Bayberry Dr
Canonsburg, PA 15317-4992

Mailing address

600 Ridgemont Dr
Pittsburgh, PA 15220-5237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuroaxis Rehabilitation ServicesGroup PAC ID 7012300387, shared by 2 NPIs, 24 clinicians

Practice addresses (Care Compare)

135 Technology Dr
Suite 100
Canonsburg, PA 15317-9549
Phone (724) 585-8145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT029489PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroaxis Rehabilitation Services CurrentSince Jun 1, 2026 Accepting new patients
Neuroaxis Rehabilitation Services Physical Therapist CurrentSince Nov 17, 2021 Accepting new patients

Locations

135 Technology Dr
Ste 100
Canonsburg, PA 15317
Phone (724) 585-8145

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1629905823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RIDGEMONT DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152205237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 BAYBERRY DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153174992",
            "telephone_number": "724-585-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHARD",
        "first_name": "SOPHIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.