Laurie L. Shepard, PT, OCS
NPI 1033116397ActiveIndividual· Physical Therapist· Mesa, AZ
Physical Therapist (PT, OCS) with Modern Sports Medicine LLC, practicing in Mesa, Arizona. Medicare paid $88,818 for services to 111 patients in 2024.
Overview
| NPI | 1033116397 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, OCS |
| Sole proprietor | No |
| NPI issued | Jul 1, 2005 |
| Last updated in NPPES | Oct 12, 2007 |
| Reactivated | Jul 12, 2005 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 962 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 111 |
|---|---|
| Services billed | 4,624 across 11 procedure codes |
| Paid by Medicare | $88,818 |
Education and affiliations
| Graduation year | 1981 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Modern Sports Medicine LLCGilbert, AZ · 42 clinicians
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