Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katherine Marie Shephard, PT, DPT

Individual provider Physical Therapist · NPI 1033646922

Katherine Marie Shephard, PT, DPT is a Physical Therapist in Private Practice in Saint Paul, Minnesota. Qualified in 2016, 10 years ago. Practices with Premier OBGYN of Minnesota PLLC, a 89-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1939 Minnehaha Ave W Ste 100
Saint Paul, MN 55104-1033
Phone: (651) 348-7428
Fax: (651) 348-7432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1790 Holton St, Falcon Heights, MN 55113-6224 — (651) 300-9079

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10446 (MN)

Record details

NPI number1033646922
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 22, 2017
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Premier Obgyn Of Minnesota Pllc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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