| Jason Oliver Shepardson, DPT, PT | |
|
952 Kennedy Dr Apt B, Capitola, CA 95010-2372 | |
| (408) 348-1893 | |
| Not Available |
| Full Name | Jason Oliver Shepardson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 952 Kennedy Dr Apt B, Capitola, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235643370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 294141 (California) | Primary |
| Provider Name | Ronning Physical Therapy, Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1477533313 PECOS PAC ID: 5991748279 Enrollment ID: O20050607001283 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Oliver Shepardson, DPT, PT 952 Kennedy Dr Apt B, Capitola, CA 95010-2372 Ph: (408) 348-1893 | Jason Oliver Shepardson, DPT, PT 952 Kennedy Dr Apt B, Capitola, CA 95010-2372 Ph: (408) 348-1893 |
Charlene Norquist, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1350 41st Ave Ste 100, Capitola, CA 95010 Phone: 831-706-2085 | |
Ms. Vanessa Diamond, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1200 41st Ave Ste H, Capitola, CA 95010 Phone: 831-475-1200 | |
Marjorie E Wagoner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1350 41st Ave Ste 100, Capitola, CA 95010 Phone: 831-706-2085 Fax: 831-417-3799 | |
Alison Brock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2229 Albert Ln, Capitola, CA 95010 Phone: 831-713-7980 | |
Michelle Marie Zenda, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4400 Capitola Rd Ste 200, Capitola, CA 95010 Phone: 831-426-9302 Fax: 408-378-4510 | |
Score Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1350 41st Ave Ste 100, Capitola, CA 95010 Phone: 831-706-2085 Fax: 831-417-3799 | |
Michele Annette Koch, PT, CLT-LANA, WCC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2045 40th Ave Ste A, Capitola, CA 95010 Phone: 831-465-7988 |