MRS. MARIETTA SUZANNE SHEPHERD PT
NPI 1063010148
Physical Therapist in Shreveport, LA
About Mrs. Marietta Suzanne Shepherd Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARIETTA SUZANNE SHEPHERD PT (NPI 1063010148) is an individual physical therapist in Shreveport, Louisiana, licensed in Louisiana (04834) and active in the NPI registry since October 2020.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Marietta Suzanne Shepherd Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marietta Shepherd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Haughton, LA 71037
- Reassigned Medicare billing, Louisiana enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marietta Shepherd's NPI number?
The NPI number for Marietta Shepherd is 1063010148. It was assigned to this individual provider in the NPPES registry on October 12, 2020.
Where is Marietta Shepherd located?
Marietta Shepherd practices at 6723 Pines Rd Ste 112, Shreveport, LA 71129. The listed phone number is (318) 563-3944.
What is Marietta Shepherd's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Marietta Shepherd enrolled in Medicare?
Yes. Marietta Shepherd is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marietta Shepherd's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marietta Shepherd reassigns Medicare benefits to Therateam Outpatient Services, LLC (Haughton, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marietta Shepherd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marietta Shepherd was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.