Individual provider Active NPI

Robert David Shepard, PT, DPT

  • Pediatric Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1730315060
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
3304 Issued in NV
Practice address
5977 Whistling Tree CT
Las Vegas, NV 89148-4586
Phone
(702) 467-1255
NPI assigned
Jun 1, 2009
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 3304 NV Primary

Addresses

Primary practice location

5977 Whistling Tree CT
Las Vegas, NV 89148-4586

Mailing address

5977 Whistling Tree CT
Las Vegas, NV 89148-4586
Phone (702) 467-1255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028000393 NV Practitioner - Physical Therapist in Private Practice 4981757572 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Slptele LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Shepard Playtime Therapy Pediatrics CurrentSince Nov 8, 2025 Accepting new patients
Kirksville Missouri Hospital Company, LLC Past Accepting new patients
Kirksville Physical Therapy Services LLC Physical Therapist PastSince Jul 1, 2009 Accepting new patients

Locations

6320 Canoga Ave
Fl 15
Woodland Hls, CA 91367
Phone 81889422731025

3920 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 478-5541

601 N Pecos Rd
Las Vegas, NV 89101
Phone (702) 455-2202

9260 W Sunset Rd
Ste 204
Las Vegas, NV 89148
Phone (702) 339-8770

1306 E Calvada Blvd
Pahrump, NV 89048
Phone (702) 339-8770

Organizations & group practices 4

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": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1730315060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5977 WHISTLING TREE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484586",
            "telephone_number": "702-467-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5977 WHISTLING TREE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484586",
            "telephone_number": "702-467-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NV",
            "license": "3304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.