SELINDA A SHEPHERD (DPT) – Physical Therapist, NPI 1083852289

SELINDA A SHEPHERD (DPT) is a healthcare provider. based in Avon, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT010494 (CT). The NPI Number for SELINDA A SHEPHERD (DPT) is 1083852289

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
SELINDA A SHEPHERD (DPT)
NPI
1083852289
Phone
(215) 528-9799
Address
43 W MAIN ST
Enumeration Date
26 January 2009
Last Update Date
5 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604828539
Graduation Year
2008 (18 years ago)
PAC ID
8729135124
Group Practice PAC ID
7113826397
Professional Enrollment ID
I20170403001302
Address ID
CT067903493TO245XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

Provider Addresses for SELINDA A SHEPHERD (DPT)

  • 43 W MAIN ST

    AVON, CT 060014219

    Phone: (215) 528-9799

    Type: Mailing

  • 466, Morley-Potsdam Road, Slab City, Canton, Saint Lawrence County, New York, 13617, United States

    CANTON, CT 060190466

    Phone: (860) 693-6226

    Fax: (860) 693-8002

    Type: Mailing

  • 65, Albany Turnpike, Canton, Hartford County, Connecticut, 06019, United States

    CANTON, CT 060192507

    Phone: (860) 693-6226

    Fax: (860) 693-8002

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-04-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170403001302IPhysical Therapist In Private PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes8415$0
97140Therapy procedure using manual technique, each 15 minutes5214$0
97535Training for self-care or home management, each 15 minutes1712$0
View full utilization report →

Insurance plans in this area (ZIP 06001)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113826397View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCT
Orthopedic SurgeryOH
Occupational Therapist In Private PracticeCT
Orthopedic Surgery, Sports MedicineNY
Occupational Therapist In Private PracticeCT
Orthopedic SurgeryCT
Occupational Therapist In Private PracticeCT
P O D I A T R YNY
Physical Therapist In Private PracticeCT
-CT

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Frequently asked questions

Does SELINDA A SHEPHERD (DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SELINDA A SHEPHERD (DPT) uses 1083852289.
Does the file indicate SELINDA A SHEPHERD (DPT) is practicing under active NPI?
Directory data currently reports SELINDA A SHEPHERD (DPT) as active.
What healthcare role does SELINDA A SHEPHERD (DPT) hold?
Scheduling teams often label SELINDA A SHEPHERD (DPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is SELINDA A SHEPHERD (DPT) based?
SELINDA A SHEPHERD (DPT) is tied to Avon, Connecticut in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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