Individual provider Active NPI

David Wayne Shupe, PT

  • Orthopedic Physical Therapist
  • Rapid City, SD
National Provider Identifier
1770571085
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
135 Issued in SD
Practice address
2050 W Main St
#4
Rapid City, SD 57702-0905
Phone
(605) 342-9575
Fax
(605) 342-9592
NPI assigned
Oct 11, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 135 SD
Orthopedic Physical Therapist 2251X0800X 135 SD Primary

Addresses

Primary practice location

2050 W Main St
#4
Rapid City, SD 57702-0905

Mailing address

4728 Capitol St
Rapid City, SD 57702-1867
Phone (605) 721-7733

Other identifiers 2

IdentifierTypeStateIssuer
4998962OtherSDWELLMARK
5830732MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051222000169 SD Practitioner - Physical Therapist in Private Practice 9234151952 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135SDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Soar, Inc. Physical Therapist PastSince Oct 3, 2005 Accepting new patients
Erik T Swanson DDS PC PastSince Jul 4, 2021 Accepting new patients

Organizations & group practices 3

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770571085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4728 CAPITOL ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577021867",
            "telephone_number": "605-721-7733",
            "fax_number": "605-342-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W MAIN ST",
            "address_2": "#4",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020905",
            "telephone_number": "605-342-9575",
            "fax_number": "605-342-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUPE",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "135",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SD",
            "license": "135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "4998962",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5830732",
            "state": "SD"
        }
    ],
    "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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.