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

Miss. Marissa Lynn Shepherd, PTA

Individual provider Physical Therapy Assistant · NPI 1942589825

Miss. Marissa Lynn Shepherd, PTA is a Physical Therapy Assistant in Lake Mary, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
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

1337 S International Pkwy
Lake Mary, FL 32746-1402
Phone: (407) 833-0802
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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 22209 (FL)

Record details

NPI number1942589825
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 10, 2011
Last updated in NPPESAugust 10, 2011

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