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

MS. Laurie L Shepard, PT, OCS

Individual provider Physical Therapist · NPI 1033116397

MS. Laurie L Shepard, PT, OCS is a Physical Therapist in Private Practice in Mesa, Arizona. Qualified in 1981, 45 years ago. Practices with Modern Sports Medicine LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
45
Licensed in
AZ
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

6836 E Brown Rd Ste 102
Mesa, AZ 85207-3756
Phone: (480) 924-5514
Fax: (480) 924-5518
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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 962 (AZ)

Record details

NPI number1033116397
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , OCS
Sole proprietorNo
NPI enumeratedJuly 1, 2005
Last updated in NPPESOctober 12, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Modern Sports Medicine Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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