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

Individual provider Physical Therapy Assistant · NPI 1649380817

Miss. Jacqueline Dawn Shepard, PTA is a Physical Therapy Assistant in Brandon, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

206 Ridgewood Ave
Brandon, FL 33510-4617
Phone: (813) 662-1060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA 19942 (FL)

Record details

NPI number1649380817
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 8, 2007

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