KELLY SHEPHERD DPT
NPI 1215521638
Physical Therapist in Moab, UT

Active since February 25, 2021Accepts Medicare Assignment
450 WILLIAMS WAY, MOAB, UT 84532(435) 259-3600 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 14, 2024, Feb 25, 2021 (2 updates tracked since 2021).

About Kelly Shepherd Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY SHEPHERD DPT (NPI 1215521638) is an individual physical therapist in Moab, Utah, licensed in Utah (12148961-2401) and active in the NPI registry since February 2021. She maintains 2 additional practice locations and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215521638
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKELLY SHEPHERDCredential: DPT
Location Address450 WILLIAMS WAYMoab, UT 84532-2185
Mailing AddressPo Box 711185Salt Lake City, UT 84171-1185
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 25, 2021
Last NPPES UpdateAugust 27, 20252 updates tracked since enumeration
NPPES CertifiedAugust 27, 2025
✔ NPI 1215521638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses✔ Licensed in UT · 12148961-2401✔ Licensed in CO · PTL.0020733✔ Licensed in SC · 12590
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
450 WILLIAMS WAY, Moab, UT 84532

Secondary Practice Locations 2

Location 11410 Wilson RdNewberry, SC 29108-3050 · Phone (843) 492-9022
Location 217230 Jackson Creek Pkwy Ste 170Monument, CO 80132-7303 · Phone (719) 571-7080 · Fax (719) 571-7089

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Shepherd Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719413442
PECOS Enrollment IDI20250929000823

Medicare Billing Reassignments

3

Medicare enrollment records show Kelly Shepherd reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
1 MERCADO ST STE 201
Durango, CO 81301
  • Reassigned Medicare billing, Colorado enrollment
  • 42 clinicians in this Medicare group
Physical Therapy
68 SCHOOL RD, STE 125
Frisco, CO 80443
  • Reassigned Medicare billing, Colorado enrollment
  • 31 clinicians in this Medicare group
Physical Therapist
1510 RIBAUT RD
Port Royal, SC 29935
  • Reassigned Medicare billing, South Carolina enrollment
  • 34 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84532 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
450 WILLIAMS WAY
MOAB, UT 84532
Orthopaedic Surgery
450 WILLIAMS WAY
MOAB, UT 84532
Family Medicine
450 WILLIAMS WAY
MOAB, UT 84532
Nurse Practitioner (Family)
450 WILLIAMS WAY
MOAB, UT 84532
Physician Assistant
450 WILLIAMS WAY
MOAB, UT 84532
Emergency Medicine
450 WILLIAMS WAY, MOAB REGIONAL HOSPITAL
MOAB, UT 84532
Occupational Therapist (Neurorehabilitation)
450 WILLIAMS WAY
MOAB, UT 84532
Physician Assistant
450 WILLIAMS WAY
MOAB, UT 84532

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 Kelly Shepherd's NPI number?

The NPI number for Kelly Shepherd is 1215521638. It was assigned to this individual provider in the NPPES registry on February 25, 2021.

Where is Kelly Shepherd located?

Kelly Shepherd practices at 450 Williams Way, Moab, UT 84532. The listed phone number is (435) 259-3600.

What is Kelly Shepherd's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kelly Shepherd enrolled in Medicare?

Yes. Kelly Shepherd is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kelly Shepherd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Shepherd reassigns Medicare benefits to 3 organizations: Cs Colorado Clinics LLC (Durango, CO), Centura Ventures, LLC (Frisco, CO) and Novant Health Physical Therapy LLC (Port Royal, SC). Each 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 Kelly 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 Kelly Shepherd was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.