Kelly Ann Shepherd

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6339 Issued in TN

Practice address

222 22ND Ave N Ste 100
Nashville, TN 37203-1852

Phone

(866) 483-5378

NPI assigned

Aug 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kelly Bailey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Agilitas USA Inc

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  Occupational Therapist

  NPD
• Agilitas USA, Inc

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1518695436

  Occupational Therapist

  NPD
• Benchmark Physical Therapy of VA, LLC

  • Physical Therapist
  • Ooltewah, TN
  • NPI 1073981114

  Occupational Therapist

  NPD
• Results-Ast JV, LLC

  • Physical Therapist
  • Franklin, TN
  • NPI 1780291948

  Occupational Therapist

  NPD
• Benchmark Physical Therapy of VA, LLC

  • Physical Therapist
  • Staunton, VA
  • NPI 1871063925

  Occupational Therapist

  NPD
• Drayer Physical Therapy Virginia, LLC

  • Physical Therapist
  • Charlottesville, VA
  • NPI 1649742016

  Occupational Therapist

  NPD
• Drayer PT of VA LLC

  • Physical Therapist
  • Harrisonburg, VA
  • NPI 1093130346
  NPD
• Drayer PT of VA LLC

  • Physical Therapist
  • Harrisonburg, VA
  • NPI 1831514637
  NPD
• Drayer Physical Therapy Virginia, LLC

  • Physical Therapist
  • Stafford, VA
  • NPI 1457947707

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1750938445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 22ND AVE N STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031852",
            "telephone_number": "866-483-5378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3209 Bristol Hwy",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376011515",
            "country_code": "US",
            "telephone_number": "423-282-3311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1608 Gunbarrel Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374217244",
            "country_code": "US",
            "telephone_number": "423-892-8070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4011B Wards Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245022943",
            "country_code": "US",
            "telephone_number": "434-582-9838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119-008284",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "BAILEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jesse Vaughn Shepard, PA-C
• Thomas Shepard, RPH
• Ryan Nicholas Shephard, DO
• Alexis Oliver Shepherd
• Daniel Shepherd
• Margaret Randle Bane Shepherd, RN, BSN, IBCLC
• Martha Ellen Shepherd, DO, MPH
• Ryan Alan Shepherd, MD
• Sarah Ashley Shepherd, B.S.
• Brian K Sheppard, LPC

• Occupational Therapist in Nashville, TN
• Providers in Nashville, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.