Active NPI
David Wayne Shupe, PT
- Orthopedic Physical Therapist
- Rapid City, SD
National Provider Identifier
1770571085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 135
- 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, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4998962 | Other | SD | WELLMARK |
| 5830732 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135 | SD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soar, Inc. | Physical Therapist | Past | Accepting new patients |
| Erik T Swanson DDS PC | Past | 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.
-
dba Black Hills Surgical Hospital
- Urgent Care Clinic/Center
- Rapid City, SD
- NPI 1336009646
-
- Dental Clinic/Center
- Rapid City, SD
- NPI 1831769819
-
- Physical Therapist
- Rapid City, SD
- NPI 1376657031
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.