Healthcare Provider Details

I. General information

NPI: 1801719042
Provider Name (Legal Business Name): HOPE SHEPHERD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4714 MILESTONE LN STE B
CASTLE ROCK CO
80104-7908
US

IV. Provider business mailing address

8 HOSPITAL CENTER BLVD STE 250
HILTON HEAD ISLAND SC
29926-8702
US

V. Phone/Fax

Practice location:
  • Phone: 303-660-5349
  • Fax:
Mailing address:
  • Phone: 843-671-7342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA012876
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: