Caryln Rae Shepard, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15441 Issued in NC

Practice address

13937 US Highway 17 Apt 214
Hampstead, NC 28443-4043

Phone

(910) 566-0300

NPI assigned

Mar 2, 2015

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 1

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": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1982096830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 CHIPLEY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284117266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13937 US HIGHWAY 17 APT 214",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284434043",
            "telephone_number": "910-566-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7210 Chipley Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284117266",
            "country_code": "US",
            "telephone_number": "910-988-9772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "CARYLN",
        "middle_name": "RAE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "15441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "15441",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seaver Chiropractic PA
• Robert K Seigel
• Isabella Rose Sessoms
• Tiffany Sewell
• Madison Grace Shelton, RBT
• Lydia Elyse Shively, ATR-P, LCMHCA
• Shoreline Health, PC
• Natalie Simkins
• Morgan Drew Sisk, LMBT13766
• Angela Michelle Slightom-Williams, LCMHC

• Physical Therapist in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.