MISS JACQUELINE DAWN SHEPARD (PTA) – Physical Therapy Assistant, NPI 1649380817

MISS JACQUELINE DAWN SHEPARD (PTA) is a healthcare provider. based in Brandon, Florida. specializing in Physical Therapy Assistant. They hold the professional credentials PTA. They hold a License No. PTA 19942 (FL). The NPI Number for MISS JACQUELINE DAWN SHEPARD (PTA) is 1649380817

Main info

Female
Sole Proprietor
Name
MISS JACQUELINE DAWN SHEPARD (PTA)
NPI
1649380817
Phone
(813) 323-8623
Address
1022 VERSANT DR
Enumeration Date
30 August 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MISS JACQUELINE DAWN SHEPARD (PTA)

  • 1022, Versant Drive, Versant Place, Brandon, Hillsborough County, Florida, 33511, United States

    APT 103

    BRANDON, FL 335118855

    Phone: (813) 323-8623

    Type: Mailing

  • Ridgewood Avenue, Brandon, Hillsborough County, Florida, 33510, United States

    BRANDON, FL 335104617

    Phone: (813) 662-1060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33511)

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Reviews

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Frequently asked questions

What unique ID ties claims to MISS JACQUELINE DAWN SHEPARD (PTA)?
NPI 1649380817 is assigned to MISS JACQUELINE DAWN SHEPARD (PTA) under the national enumeration system.
Does this profile mean MISS JACQUELINE DAWN SHEPARD (PTA) is currently active?
Yes — MISS JACQUELINE DAWN SHEPARD (PTA) appears active in the national provider directory.
What kind of provider is MISS JACQUELINE DAWN SHEPARD (PTA)?
The page reflects Physical Therapy Assistant for MISS JACQUELINE DAWN SHEPARD (PTA). Clinical services aligned with this taxonomy classification.
Where is MISS JACQUELINE DAWN SHEPARD (PTA)'s primary listing?
We display Brandon, Florida because that is what the record indicates for MISS JACQUELINE DAWN SHEPARD (PTA).
What if Brandon, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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