JASON OLIVER SHEPARDSON (NPI# 1235643370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235643370 |
| Entity Type | Individual |
| Full Name | JASON OLIVER SHEPARDSON |
| Credential | DPT, PT |
| Practice Address |
952 Kennedy Dr Apt B Capitola CA 95010-2372 |
| Practice Telephone | 4083481893 |
| Mailing Telephone | 4083481893 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2020-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
294141 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2505 Cabrillo College Dr, Aptos, CA 950033166 | 8314643901 | 8314643010 |
| 952 Kennedy Dr Apt B, Capitola, CA 950102372 | 4083481893 |
| Street Address |
952 KENNEDY DR APT B |
| City | CAPITOLA |
| State | CA |
| Zip Code | 95010-2372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609436641 | Suzanne Lerner | Psychologist | 720a Capitola Ave, Capitola, CA 95010 | 2019-06-20 |
| 1801351317 | Michael Stephen Quinn | Chiropractor | 720 A- Capitola Ave, Capitola, CA 95010 | 2019-02-08 |
| 1053885194 | Health In Mind P.C. | Psychiatry & Neurology | 610 Capitola Ave, Capitola, CA 95010 | 2019-01-11 |
| 1427547355 | Jerry Wallace Fulford | Massage Therapist | 4170 Gross Rd. Extension, Suite 6, Capitola, CA 95010 | 2018-05-07 |
| 1457730293 | Cpap Experts LLC | Durable Medical Equipment & Medical Supplies | 820 Bay Ave #203a, Capitola, CA 95010 | 2015-05-26 |
| 1972904241 | Molly Chaudoir | Acupuncturist | 4170 Gross Rd. Ext., Suite 6, Santa Cruz, CA 95010 | 2014-09-05 |
| 1245598374 | Stan C Wolken | Dentist | 4770 Capitola Rd, Capitola, CA 95010 | 2012-04-26 |
| 1104103399 | Jacinda Ann Maurer | Registered Nurse | 4725 Grace Street, Apt. 1, Capitola, CA 95010 | 2011-11-16 |
| 1508043225 | Brian J. Schabel, Dds, Ms & Vivian H. Chan, Dds, Ms, Inc. | Dentist | 1830 41st Ave., Capitola, CA 95010 | 2008-01-24 |
| 1609066679 | Sandra Polakoff | Marriage & Family Therapist | 519 Capitola Avenue, Suite B, Capitola, CA 95010 | 2007-07-26 |
| Find all providers in zip 95010 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003028515 | Charlene Norquist | Physical Therapist | 1350 41st Ave Ste 100, Capitola, CA 95010-3934 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
| 1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
| 1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
| 1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
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| 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.