Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tereasa Dianne Shepherd, PT, MSHA

Individual provider Physical Therapist · NPI 1780789420

Tereasa Dianne Shepherd, PT, MSHA is a Physical Therapist in Private Practice in Merritt Island, Florida. Qualified in 1994, 32 years ago. Practices with Aquatic Health and Rehabilitation Services Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
32
Licensed in
FL
In the registry since
2006
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

595 N Courtenay Pkwy #203
Merritt Island, FL 32953-4851
Phone: (321) 453-8484
Fax: (321) 453-8448
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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 PT11406 (FL)

Record details

NPI number1780789420
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , MSHA
Sole proprietorYes
NPI enumeratedSeptember 14, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Aquatic Health And Rehabilitation Services Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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