STEPHEN SHEPHERD (PT, DPT) – Physical Therapist, NPI 1255091047

STEPHEN SHEPHERD (PT, DPT) is a healthcare provider. based in Louisville, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 008456 (KY). The NPI Number for STEPHEN SHEPHERD (PT, DPT) is 1255091047

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN SHEPHERD (PT, DPT)
NPI
1255091047
Phone
(502) 366-1773
Address
4331 Churchman Ave Ste 102
Enumeration Date
21 December 2021
Last Update Date
9 November 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
2703521061
Graduation Year
2021 (5 years ago)
PAC ID
1153702618
Group Practice PAC ID
4880591270
Professional Enrollment ID
I20220715000847
Address ID
KY401602047RA490XXBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,255 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KY

Provider Addresses for STEPHEN SHEPHERD (PT, DPT)

  • 4331 Churchman Ave Ste 102

    Louisville, KY 402151196

    Phone: (502) 366-1773

    Type: Location

  • 3705 TERRACE HILL DR APT 200

    LOUISVILLE, KY 402455859

    Phone:

    Type: Mailing

  • 490 W LINCOLN TRAIL BLVD

    RADCLIFF, KY 401602047

    Phone: (270) 352-1061

    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: 2022-07-15

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
I20220715000847IPhysical Therapist In Private PracticeKYTBD

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 minutes3,774215$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,731189$0
97140Therapy procedure using manual technique, each 15 minutes1,203129$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care601144$0
97161Evaluation for physical therapy, typically 20 minutes7974$0
View full utilization report →

Insurance plans in this area (ZIP 40215)

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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: 4880591270View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY

Reviews

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Frequently asked questions

What is STEPHEN SHEPHERD (PT, DPT)'s NPI number?
STEPHEN SHEPHERD (PT, DPT)'s NPI is 1255091047 — the number used across U.S. healthcare to identify this provider.
Is STEPHEN SHEPHERD (PT, DPT) still an active registrant?
STEPHEN SHEPHERD (PT, DPT) carries an active NPI according to the public dataset.
What kind of doctor is STEPHEN SHEPHERD (PT, DPT)?
STEPHEN SHEPHERD (PT, DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with STEPHEN SHEPHERD (PT, DPT)?
Directory geography for STEPHEN SHEPHERD (PT, DPT) centers on Louisville, Kentucky.
Does STEPHEN SHEPHERD (PT, DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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