| David Wayne Shupe, PT | |
|
2050 W Main St, #4, Rapid City, SD 57702-0905 | |
| (605) 342-9575 | |
| (605) 342-9592 |
| Full Name | David Wayne Shupe |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 2050 W Main St, Rapid City, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770571085 | NPI | - | NPPES |
| 4998962 | Other | SD | WELLMARK |
| 5830732 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 135 (South Dakota) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | 135 (South Dakota) | Primary |
| Provider Name | Black Hills Surgical Hospital LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336009646 PECOS PAC ID: 5496742835 Enrollment ID: O20050616000485 |
| Mailing Address | Practice Location Address |
|---|---|
| David Wayne Shupe, PT 4728 Capitol St, Rapid City, SD 57702-1867 Ph: (605) 721-7733 | David Wayne Shupe, PT 2050 W Main St, #4, Rapid City, SD 57702-0905 Ph: (605) 342-9575 |
Christine Ann Stephenson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7110 Jordan Dr, Rapid City, SD 57702 Phone: 605-342-4412 |
Dr. Luke E Skiff, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1110 W Omaha St Ste 3, Rapid City, SD 57701 Phone: 605-721-5950 Fax: 605-721-5940 |
Andrew Sullivan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2001 7th St, Rapid City, SD 57701 Phone: 605-716-6474 Fax: 605-716-6484 |
Hailey Jaye Pullman, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 Phone: 605-484-9019 |
Laura Broten, RPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7220 S Highway 16, Rapid City, SD 57702 Phone: 605-341-1414 Fax: 605-341-7062 |
Mr. Norman Anthony Fasse, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Omaha St, Suite 115, Rapid City, SD 57701 Phone: 605-721-5950 Fax: 605-721-5940 |
Matthew Donald Wilson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7220 Mount Rushmore Rd, Rapid City, SD 57702 Phone: 605-341-1414 |