ALICIA SHEPARD (NPI# 1962929232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962929232 |
| Entity Type | Individual |
| Full Name | ALICIA SHEPARD |
| Other Name | ALICIA FREDERIKSEN |
| Credential | PT, DPT |
| Practice Address |
2425 W Washington St Ste B Greenville MI 48838-8259 |
| Practice Telephone | 6162252325 |
| Mailing Telephone | 6162252325 |
| Enumeration Date | 2017-08-27 |
| Last Update Date | 2019-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
5501018300 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295223048 | Alicia A Shepard | Social Worker | 2621 Victory Pkwy, Cincinnati, OH 45206-1754 | 2018-04-27 |
| Street Address |
2425 W WASHINGTON ST STE B |
| City | GREENVILLE |
| State | MI |
| Zip Code | 48838-8259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033657390 | Marissa Thomas | Physical Medicine & Rehabilitation | 2425 W Washington St Ste B, Greenville, MI 48838-8259 | 2017-02-07 |
| 1912506031 | Haley Ewald | Physical Therapist | 2425 W Washington St Ste B, Greenville, MI 48838-8259 | 2020-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861988743 | Rachel Hoover | Specialist/Technologist | 7481 S Grow Rd, Greenville, MI 48838 | 2018-07-03 |
| 1043719008 | Courtney Garlanger | Physical Therapist | 2425 W Washington St Suite B, Greenville, MI 48838 | 2018-02-06 |
| 1487164026 | Clay Street Center | Clinic/Center | 913 S. Clay St., Greenville, MI 48838 | 2017-10-10 |
| 1922548296 | Maureen Myers | Occupational Therapist | 10131 Connelly Road, Greenville, MI 48838 | 2017-03-06 |
| 1003204371 | Todd Gerrit Cates | Physical Therapist | 1330 W. Washington, Greenville, MI 48838 | 2015-01-08 |
| 1285985358 | Kimberly Belle Lavender | Social Worker | 309 1/2 S Lafayette St Ste 202, Greenville, MI 48838 | 2012-09-28 |
| 1255619912 | Lindsay Joan Weinfurtner | Specialist | 6010 Sipperley Trl, Greenville, MI 48838 | 2011-07-29 |
| 1699075382 | Jenny Kay Moulds | Pharmacist | 205 South Greenville Dr. W, Greenville, MI 48838 | 2010-10-27 |
| 1285934471 | Alexander Edward-tapani Cribley | Pharmacist | 10772 West Carson City Road, Greenville, MI 48838 | 2010-10-22 |
| 1851574990 | Mary Ann Bartman | Physical Therapist | 1330 West Washington, Greenville, MI 48838 | 2007-12-12 |
| Find all providers in zip 48838 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101388 | Chelsea Marie Clark | Physical Therapist | 10 Tupelo Ct, Greenville, SC 29609-6027 | 2020-07-09 |
| 1467069138 | Zachary Benjamin Barrett | Physical Therapist | 1540 E Arlington Blvd, Greenville, NC 27858-5870 | 2020-09-28 |
| 1811507627 | Mason Smith | Physical Therapist | 1301 E Arlington Blvd, Greenville, NC 27858-5868 | 2020-08-06 |
| 1013556554 | Eric Kao | Physical Therapist | 3300 Poinsett Hwy, Greenville, SC 29613-0002 | 2020-01-02 |
| 1740836592 | Denise Schmidt | Physical Therapist | 1540 E Arlington Blvd, Greenville, NC 27858-5870 | 2019-08-16 |
| 1992351555 | Virginia Renn Shearin | Physical Therapist | 1301 E Arlington Blvd, Greenville, NC 27858-5868 | 2019-08-09 |
| 1568022275 | Courtney Beasley | Physical Therapist | 1540 E Arlington Blvd, Greenville, NC 27858-5870 | 2019-06-14 |
| 1053899625 | Richard Austin Mcphail | Physical Therapist | 1301 E Arlington Blvd, Greenville, NC 27858-5868 | 2018-08-05 |
| 1588103428 | Benjamin Myers | Physical Therapist | 1540 E Arlington Blvd, Greenville, NC 27858-5870 | 2017-02-13 |
| 1215079173 | Harriett Jones Pearce | Physical Therapist | 3300 Poinsett Hwy, Greenville, SC 29613-0002 | 2007-02-13 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 48838 |
Please comment or provide details below to improve the information on ALICIA SHEPARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.