Active NPI
Sheila L Shepherd, PTA
- Physical Therapy Assistant
- Shelby, NC
National Provider Identifier
1649580226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1219
- Practice address
- 141 JT Drive
Shelby, NC 28150 - Phone
- (704) 473-0788
- NPI assigned
- Oct 15, 2010
- Last updated
- Oct 15, 2010
- 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 Therapy Assistant | 225200000X | 1219 | NC | Primary |
Addresses
Primary practice location
141 JT Drive
Shelby, NC 28150
Mailing address
141 JT Drive
Shelby, NC 28150
Phone (704) 473-0788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1219 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1649580226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 JT DRIVE",
"city": "SHELBY",
"state": "NC",
"postal_code": "28150",
"telephone_number": "704-473-0788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 JT DRIVE",
"city": "SHELBY",
"state": "NC",
"postal_code": "28150",
"telephone_number": "704-473-0788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "SHEILA",
"middle_name": "L",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-15",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "1219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
- Shelby Wellness & Therapy Center PLLC (Community Wellness Partners of NC, PLLC)
- Shelby Womens Clinic PA
- Scott B Shepard, PA-C
- Tyra Shepeard, LCSWA
- Amy Marie Shepherd, DNP
- William Robert Shipley, MD
- Margaret Bralley Shires, GNP-C
- Sydney Kate Short
- Surendra Pal Singh Sidhu, MD
- Latonyia Shunae Simmons, LCSWA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.