Healthcare Provider Details

I. General information

NPI: 1285159590
Provider Name (Legal Business Name): BARBARA KERBE SHEPHARD OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2017
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 S LUDLOW ST
DAYTON OH
45402-1813
US

IV. Provider business mailing address

75 BRAMBLEBUSH LN
SPRINGBORO OH
45066-9752
US

V. Phone/Fax

Practice location:
  • Phone: 937-542-3000
  • Fax:
Mailing address:
  • Phone: 513-484-9637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number009813
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number18008
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: