Katie Nicole Sheppard, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA32264 Issued in FL

Practice address

3825 Countryside Blvd N
Palm Harbor, FL 34684-4928

Phone

(727) 784-2848

NPI assigned

Oct 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1972228096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 KATHERINE BLVD APT 5102",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843698",
            "telephone_number": "865-851-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 COUNTRYSIDE BLVD N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844928",
            "telephone_number": "727-784-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "KATIE",
        "middle_name": "NICOLE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA32264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Shehata
• Sobhy D Shehata, MD
• Paula Kathleen Sheldon, L.M.T.
• Patricia Ann Shelley
• Elizabeth Brooke Shepard Orr, M.D.
• Robert Sherman, M.D.
• Anjali Shetty
• Michael Sheynin, PT
• Shires Physical Therapy, Inc
• Wayne Shires, M.S.,P.T.

• Physical Therapy Assistant in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.