Active NPIIndividual provider

Sam A Sheppard, PT, DPT

Physical Therapist in Daniel Island, South Carolina

NPI Number1124541537
Practice location
145 River Landing Dr Unit 101A, Daniel Island, SC 29492-8612
Fax
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Last updated
January 9, 2023

Sam A Sheppard is a Physical Therapist based in Daniel Island, SC. Sam A Sheppard practices in Daniel Island, SC and has the professional credentials of PT, DPT. The NPI Number for Sam A Sheppard is 1124541537 and holds a License No. 040635 (NY). The current practice location address for Sam A Sheppard is 145 River Landing Dr Unit 101A, Daniel Island, SC 29492-8612 and can be reached out via phone at 843-834-6406.

Provider Profile Details

NPI Number
1124541537
Provider Name
Sam A Sheppard
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Male
Address
145 River Landing Dr Unit 101A, Daniel Island, SC 29492-8612
Phone Number
843-834-6406
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
July 18, 2017
Last Update Date
January 9, 2023
Certification Date
January 9, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
145 River Landing Dr Unit 101A
Daniel Island, SC 29492-8612
Zip
29492-8612
Phone Number
843-834-6406
Daniel Island, SC 29492Get directions →

Provider Business Mailing Address Details

Address
145 River Landing Dr Unit 101A
Daniel Island, SC 29492-8612
City
Daniel Island
State
SC
Zip
29492-8612
Phone Number
843-834-6406

License Information

License Number (1)
040635
License State (1)
NY
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
10325
License State (2)
SC
Taxonomy (2)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sam A Sheppard, PT, DPT?

The NPI number of Sam A Sheppard, PT, DPT is 1124541537. It was assigned on July 18, 2017 and is currently active in the NPPES registry.

What is the specialty of Sam A Sheppard, PT, DPT?

Sam A Sheppard, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 040635.

Where does Sam A Sheppard, PT, DPT practice?

The practice location is 145 River Landing Dr Unit 101A, Daniel Island, SC 29492-8612. The office can be reached at 843-834-6406 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124541537 directly on the NPPES registry website.

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