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

MS. Krista J. Sheppard, DPT

Individual provider Physical Therapist · NPI 1669471769

MS. Krista J. Sheppard, DPT is a Physical Therapist in Private Practice in Bloomington, Illinois. Qualified in 1997, 29 years ago. Practices with Central Illinois Institute of Balance LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
29
Licensed in
IL
In the registry since
2005
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1111 Trinity Ln Ste 111
Bloomington, IL 61704-8111
Phone: (309) 663-6461
Fax: (309) 661-8107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-010448 (IL)

Record details

NPI number1669471769
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 20, 2005
Last updated in NPPESJanuary 11, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Central Illinois Institute Of Balance Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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