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MR. CHARLES NATHANIEL SHEPPARD PT
NPI 1295524015
Physical Therapist - Orthopedic in Melbourne, FL

Active since May 06, 2025Accepts Medicare Assignment
2200 W EAU GALLIE BLVD STE 105, MELBOURNE, FL 32935(321) 255-2818 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Charles Nathaniel Sheppard Pt NPPES

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

MR. CHARLES NATHANIEL SHEPPARD PT (NPI 1295524015) is an individual orthopedic provider in Melbourne, Florida, licensed in Florida (PT42613) and active in the NPI registry since May 2025. He is a graduate of Texas Tech University Health Science Center School Of Medicine (2002).

NPPES Registry Identity

NPI1295524015
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameMR. CHARLES NATHANIEL SHEPPARDCredential: PT
Location Address2200 W EAU GALLIE BLVD STE 105Melbourne, FL 32935-3166
Mailing Address2200 W Eau Gallie Blvd Ste 105Melbourne, FL 32935-3166 · (321) 255-2818
Phone(321) 255-2818
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2002
Enumeration DateMay 6, 2025
NPPES CertifiedMay 6, 2025
✔ NPI 1295524015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in FL · PT42613
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
2200 W EAU GALLIE BLVD STE 105, Melbourne, FL 32935
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

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

Mr. Charles Nathaniel Sheppard Pt 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 ID4587129531
PECOS Enrollment IDI20260720003854

Medicare Billing Reassignments

2

Medicare enrollment records show Charles Sheppard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ati Holdings, LLC
840 mi
Physical Therapy
52 RISING SUN TOWN CTR
Rising Sun, MD 21911
  • Reassigned Medicare billing, District of Columbia enrollment
  • 276 clinicians in this Medicare group
NPI 1396781050 (410) 297-8141
Bay State Physical Therapy Of Randolph Inc
1,077 mi
Physical Therapist
450 WILLIAM S CANNING BLVD UNIT 3
Fall River, MA 02721
  • Reassigned Medicare billing, Massachusetts enrollment
  • 703 clinicians in this Medicare group
NPI 1164474334 (774) 520-0033

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

JULIA DOMINIQUE SWAYNE OTR/L, MSOT
Occupational Therapist
2200 W EAU GALLIE BLVD STE 105
MELBOURNE, FL 32935
Brevard County (321) 255-2818
JACOB KUTCHER
Physical Therapist
2200 W EAU GALLIE BLVD STE 105
MELBOURNE, FL 32935
Brevard County (321) 255-2818
JUSTIN PROVO
Physical Therapist
2200 W EAU GALLIE BLVD STE 105
MELBOURNE, FL 32935
Brevard County (255) 255-2818
STONE WILLIAM KELLER
Physical Therapy Assistant
2200 W EAU GALLIE BLVD STE 105
MELBOURNE, FL 32935
Brevard County (321) 255-2818
TIERRA SIMONE HENDERSON PTA
Physical Therapy Assistant
2200 W EAU GALLIE BLVD STE 105
MELBOURNE, FL 32935
Brevard County (321) 255-2818
CORA HEALTH SERVICES INC
Clinic/Center (Rehabilitation)
2200 W EAU GALLIE BLVD STE 105
MELBOURNE, FL 32935
Brevard County (321) 255-2818

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 Charles Sheppard's NPI number?

The NPI number for Charles Sheppard is 1295524015. It was assigned to this individual provider in the NPPES registry on May 6, 2025.

Where is Charles Sheppard located?

Charles Sheppard practices at 2200 W Eau Gallie Blvd Ste 105, Melbourne, FL 32935. The listed phone number is (321) 255-2818.

What is Charles Sheppard's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Charles Sheppard enrolled in Medicare?

Yes. Charles Sheppard 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 Charles Sheppard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Sheppard reassigns Medicare benefits to 2 organizations: Ati Holdings, LLC (Rising Sun, MD) and Bay State Physical Therapy Of Randolph Inc (Fall River, MA). 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 Charles Sheppard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Sheppard accept?

Health plans from Oscar Health Maintenance Organization of Florida list Charles Sheppard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Sheppard was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.