Jacob B Shepherd (NPI# 1023404589, PAC ID# 6709129919) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1023404589 |
| PAC ID by PECOS | 6709129919 |
| Professional Enrollment ID | I20190509002063 |
| Full Name | Jacob B Shepherd |
| Organization Legal Name | NORTH CAROLINA INSTITUTE OF SPORTS BIOMECHANICS LLC |
| Address |
2121 E Williams St Suite 108 Apex NC 27539-7765 |
| Phone Number | 9199467011 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8022238658 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2121 E Williams St, Suite 108, Apex, NC 27539-7765 | 9199467011 | NORTH CAROLINA INSTITUTE OF SPORTS BIOMECHANICS LLC |
| Organization Legal Name | NORTH CAROLINA INSTITUTE OF SPORTS BIOMECHANICS LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon M Young | Physical Therapy | North Carolina Institute of Sports Biomechanics LLC | 2121 E Williams St, Suite 108, Apex, NC 27539-7765 |
| Erin Kling | Physical Therapy | North Carolina Institute of Sports Biomechanics LLC | 2121 E Williams St, Suite 108, Apex, NC 27539-7765 |
| Lee M Welch | Physical Therapy | North Carolina Institute of Sports Biomechanics LLC | 2121 E Williams St, Suite 108, Apex, NC 27539-7765 |
| Shannon Kaplan | Physical Therapy | North Carolina Institute of Sports Biomechanics LLC | 2121 E Williams St, Suite 108, Apex, NC 27539-7765 |
| Street Address |
2121 E WILLIAMS ST SUITE 108 |
| City | APEX |
| State | NC |
| Zip | 27539-7765 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon M Young | Physical Therapy | North Carolina Institute of Sports Biomechanics LLC | 2121 E Williams St, Suite 108, Apex, NC 27539-7765 |
| Erin Kling | Physical Therapy | North Carolina Institute of Sports Biomechanics LLC | 2121 E Williams St, Suite 108, Apex, NC 27539-7765 |
| Lee M Welch | Physical Therapy | North Carolina Institute of Sports Biomechanics LLC | 2121 E Williams St, Suite 108, Apex, NC 27539-7765 |
| Shannon Kaplan | Physical Therapy | North Carolina Institute of Sports Biomechanics LLC | 2121 E Williams St, Suite 108, Apex, NC 27539-7765 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derrick J Hoover | Family Medicine | Neighborhood Urgent Care Pllc | 9764 Holly Springs Rd, Apex, NC 27539-7620 |
| Patti M Cox | Physical Therapy | Select Physical Therapy Holdings Inc | 9772 Holly Springs Rd, Apex, NC 27539-7620 |
| Brianna N Dillon | Physician Assistant | Neighborhood Urgent Care Pllc | 9764 Holly Springs Rd, Apex, NC 27539-7620 |
| City | APEX |
| Zip Code | 27539 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | APEX + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jacob B Shepherd.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.