Caroline Shephard, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

62611 Issued in OR

Practice address

1303 NE Cushing Dr Ste 150
Bend, OR 97701-3891

Phone

(541) 382-7875

NPI assigned

Mar 21, 2018

Last updated

Jan 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Caroline Kreuz Former name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rebound Physical Therapy Limited Partnership

  • Physical Therapist
  • Bend, OR
  • NPI 1164888764
  Medicare reassignment NPD
• Rebound Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Prineville, OR
  • NPI 1497571525

  Physical Therapist

  NPD

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1710481015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 NE LINNEA DR APT 267",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014980",
            "telephone_number": "503-481-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 NE CUSHING DR STE 150",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013891",
            "telephone_number": "541-382-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHARD",
        "first_name": "CAROLINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "KREUZ",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sheri Ann Shelton, PT
• Jason Shen, MD
• Peter M. Shepard, M.D.
• Siena R Shepard
• Stanley O. Shepardson, M.D.
• Sheppard Chiropractic LLC (Oregon Head and Neck)
• Ian Douglas Sheppard, D.C.
• Carmen Rebecca Sherer, MD
• Kevin E Sherer, MD
• William Daniel Sherfield, CRM

• Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.