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

Individual provider Physical Therapist · NPI 1629905823

Sophie Shephard is a Physical Therapist in Private Practice in Canonsburg, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Neuroaxis Rehabilitation Services, a 20-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2026
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Practice location Address checks out

1159 Bayberry Dr
Canonsburg, PA 15317-4992
Phone: (724) 585-8145
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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 PT029489 (PA)

Record details

NPI number1629905823
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 4, 2026
Last updated in NPPESMay 4, 2026
Certification dateMay 3, 2026
Mailing address600 Ridgemont Dr, Pittsburgh, PA 15220-5237

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Neuroaxis Rehabilitation Services — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Canonsburg