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Active NPI 1568925287 Individual Practitioner Male Practitioner

Samuel Shepherd , OTR, L

Occupational Therapist • Gresham, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samuel Shepherd, OTR, L is a certified Occupational Therapist practicing in Gresham, OR. With approximately 5 years of clinical experience since completing medical education in 2021, Samuel Shepherd delivers high-quality medical care to the local community at 24076 SE STARK ST STE 200.

Samuel Shepherd is affiliated with Sportscare Physical Therapy @ Cornell, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using functional activities, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

24076 Se Stark St Ste 200

Gresham, OR 970303376

Telephone 5034911666
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Gresham, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -11.0 yrs vs City Avg
City Avg: 16.0 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
38 Specialists

Practicing in Gresham, OR (1513 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shepherd (5 Years) 5 Yrs
Gresham Specialty Average (16.0 Years) 16.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97530 Therapy procedure using functional activities
172 25 $89.28 $29.67
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
153 30 $74.05 $24.65
97140 Therapy procedure using manual technique, each 15 minutes
33 13 $75.00 $21.10
97168 Re-evaluation for occupational therapy, typically 30 minutes
20 12 $169.16 $72.33
97165 Evaluation for occupational therapy, typically 30 minutes
20 20 $256.36 $104.37

Medical Specialties & State Licenses

CMS Verified: 2021-08-06
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Hospital & Practice Group Affiliations

Sportscare Physical Therapy @ Cornell, Llc

10121 Se Sunnyside Rd, Clackamas, OR 970155750

Phone: 5037940103

Sportscare Physical Therapy @ Cornell, Llc

16100 Nw Cornell Rd, Beaverton, OR 970067369

Phone: 9712456663

Sportscare Physical Therapy @ Cornell, Llc

10748 Ne Halsey St, Portland, OR 972203961

Phone: 5032579881

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Dr. Paul Eo , DPT

Physical Therapist

NPI 1033728670

Doctor of Physical Therapy

Clem Eischen , PT

Physical Therapist

NPI 1043292311

Physical Therapist

Dr. Tara Harrington , DPT

Clinic/Center - Physical Therapy

NPI 1144860024

Doctor of Physical Therapy

Dr. Joseph Pho , DPT

Physical Therapist

NPI 1265197206

Doctor of Physical Therapy

Patrick Clinton , PT

Physical Therapist

NPI 1265801070

Physical Therapist

NPI 1295441517

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 03, 2022

Registered at 24076 SE STARK ST STE 200, GRESHAM, OR 970303376 (Tel: 5034911666)

📍
Updated Business Mailing Address January 03, 2022

Registered at 110 SE 65TH AVE, PORTLAND, OR 972151324

👤
Provider Name / Credentials Updated January 03, 2022

Recorded as SAMUEL SHEPHERD, OTR/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2022

Occupational Therapist

NPI Profile Active April 09, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 09, 2019

Registered at 405 NE 5TH ST, GRESHAM, OR 970307345 (Tel: 5036665600)

📍
Updated Business Mailing Address April 09, 2019

Registered at 25117 SW PARKWAY AVE, WILSONVILLE, OR 970709697

👤
Provider Name / Credentials Updated April 09, 2019

Recorded as SAMUEL SHEPHERD, COTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2019

Occupational Therapy Assistant

🟢
Initial NPI Registration & Enumeration April 09, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568925287
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2019
Last Update: January 03, 2022
Sole Proprietor: No

Mailing Address

110 Se 65th Ave

Portland, OR 972151324

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.