Active NPI
Robyn Feder Shepard Shepard, PTA
- Physical Therapy Assistant
- Fairbanks, AK
National Provider Identifier
1679483978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 143809
- Practice address
- 1275 Sadler Way
Fairbanks, AK 99701-3175 - Phone
- (907) 743-8260
- NPI assigned
- Sep 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 143809 | AK | Primary |
Addresses
Primary practice location
1275 Sadler Way
Fairbanks, AK 99701-3175
Mailing address
2061 30TH Ave Unit a
Fairbanks, AK 99701-7317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1679483978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2061 30TH AVE UNIT A",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997017317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 SADLER WAY",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997013175",
"telephone_number": "907-743-8260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPARD",
"first_name": "ROBYN",
"middle_name": "FEDER SHEPARD",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AK",
"license": "143809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.