Loretta Shepherd, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10522 Issued in CA

Practice address

26357 McBean Pkwy
Suite 220
Santa Clarita, CA 91355

Phone

(661) 254-0077

Fax

(661) 254-2788

NPI assigned

Jul 11, 2006

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Progressive Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Tarzana, CA
  • NPI 1184605586

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821023953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19510 VENTURA BLVD",
            "address_2": "SUITE 106",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "818-996-1725",
            "fax_number": "818-996-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26357 MCBEAN PKWY",
            "address_2": "SUITE 220",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "661-254-0077",
            "fax_number": "661-254-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "LORETTA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT10522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "ZZZ14991Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1349600",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Sharp
• Reese Shaughnessy
• Audrina Lee Shaw, PHARMD
• Emily Shefer, AMFT
• Aylissa Violet Sheldon
• Austin Sheppard, RN
• Crystal Nicole Shermaine, N.P.
• Larry M Sherman, M.D.
• Travis L Shiba
• Desirae Morgan Shields

• Physical Therapist in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.