Active NPI
Shawn Dockter, MPT
- Physical Therapist
- Rapid City, SD
National Provider Identifier
1265600746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1211
- Practice address
- 4334 Titan Dr
Rapid City, SD 57701-4312 - Phone
- (605) 716-4281
- NPI assigned
- Feb 18, 2008
- Last updated
- Feb 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1211 | SD | Primary |
Addresses
Primary practice location
4334 Titan Dr
Rapid City, SD 57701-4312
Mailing address
4334 Titan Dr
Rapid City, SD 57701-4312
Phone (605) 716-4281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1211 | SD | MD | Physical Therapist |
| 1153 | ND | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omaha Therapy, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203292800000",
"number": "1265600746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4334 TITAN DR",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577014312",
"telephone_number": "605-716-4281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4334 TITAN DR",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577014312",
"telephone_number": "605-716-4281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOCKTER",
"first_name": "SHAWN",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-18",
"last_updated": "2008-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "1211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.