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

Kelly Shepherd, DPT

Individual provider Physical Therapist · NPI 1215521638

Kelly Shepherd, DPT is a Physical Therapist in Private Practice in Moab, Utah. Qualified in 2020, 6 years ago. Practices with Centura Ventures, LLC, a 30-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado, South Carolina and Utah.

Years since qualifying
6
Licensed in
CO, SC, UT
In the registry since
2021
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

450 Williams Way
Moab, UT 84532-2185
Phone: (435) 259-3600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 17230 Jackson Creek Pkwy Ste 170, Monument, CO 80132-7303 — (719) 571-7080
  • 1410 Wilson Rd, Newberry, SC 29108-3050 — (843) 492-9022

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12148961-2401 (UT)
Physical Therapist Taxonomy 225100000X · Licence PTL.0020733 (CO)
Physical Therapist Taxonomy 225100000X · Licence 12590 (SC)

Record details

NPI number1215521638
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 25, 2021
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing addressPo Box 711185, Salt Lake City, UT 84171-1185

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Centura Ventures, Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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