Active NPI
Shane Allen Meschke, LPT
- Physical Therapist
- Bloomington, MN
National Provider Identifier
1316943152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7000
- Practice address
- 9549 Penn Ave S
Bloomington, MN 55431-2563 - Phone
- (952) 888-9549
- Fax
- (952) 703-3481
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 7000 | MN | Primary |
Addresses
Primary practice location
9549 Penn Ave S
Bloomington, MN 55431-2563
Mailing address
13716 Alabama Ave S
Savage, MN 55378-2460
Phone (612) 987-5913
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 394M2ME | Other | MN | BLUE CROSS BLUE SHIELD |
| 2033422 | Other | MN | AMERICA'S PPO |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7000 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1316943152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13716 ALABAMA AVE S",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553782460",
"telephone_number": "612-987-5913",
"fax_number": "952-703-3481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9549 PENN AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554312563",
"telephone_number": "952-888-9549",
"fax_number": "952-703-3481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESCHKE",
"first_name": "SHANE",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "394M2ME",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "2033422",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.