Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katherine Marie Shephard, PT, DPT

Individual provider Physical Therapist · NPI 1033646922

Katherine Marie Shephard, PT, DPT is registered under Physical Therapist in Private Practice in Saint Paul, Minnesota. Qualified in 2016, 10 years ago. Practices with Premier OBGYN of Minnesota PLLC, a 89-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1939 Minnehaha Ave W Ste 100
Saint Paul, MN 55104-1033
Phone: (651) 348-7428
Fax: (651) 348-7432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1790 Holton St, Falcon Heights, MN 55113-6224 — (651) 300-9079

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10446 (MN)

Record details

NPI number1033646922
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 22, 2017
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Premier Obgyn Of Minnesota Pllc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Premier OBGYN of Minnesota PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 89 clinicians in the practice; 12 are shown here.

Other providers in Saint Paul