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

Mrs. Marietta Suzanne Shepherd, PT

Individual provider Physical Therapist · NPI 1063010148

Mrs. Marietta Suzanne Shepherd, PT is a Physical Therapist in Private Practice in Shreveport, Louisiana. Qualified in 2000, 26 years ago. Practices with Therateam Outpatient Services, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
26
Licensed in
LA
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6723 Pines Rd Ste 112
Shreveport, LA 71129-2590
Phone: (318) 563-3944
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 04834 (LA)

Record details

NPI number1063010148
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 12, 2020
Last updated in NPPESOctober 12, 2020
Certification dateOctober 12, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Therateam Outpatient Services, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Shreveport