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

Mr. Chris G Shepherd, PTA

Individual provider Physical Therapy Assistant · NPI 1952791832

Mr. Chris G Shepherd, PTA is a Physical Therapy Assistant in Southport, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2015
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

630 N Fodale Ave
Southport, NC 28461-3538
Phone: (910) 457-0830
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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 A2655 (NC)

Record details

NPI number1952791832
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJanuary 29, 2015
Last updated in NPPESJanuary 29, 2015

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