Shane Meyers, PTA, BSPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0631 Issued in SD

Practice address

130 6TH St
Scotland, SD 57059-2111

Phone

(605) 789-8498

NPI assigned

Jun 25, 2025

Last updated

Jun 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1962390443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3463 310TH AVE",
            "city": "SAINT EDWARD",
            "state": "NE",
            "postal_code": "686605236",
            "telephone_number": "402-669-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 6TH ST",
            "city": "SCOTLAND",
            "state": "SD",
            "postal_code": "570592111",
            "telephone_number": "605-789-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "SHANE",
        "credential": "PTA, BSPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "1287",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SD",
            "license": "0631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Kludt, CNP
• Landmann Jungman Memorial Hospital Corporation (Landmann Jungman Memorial Hospital)
• Landmann Jungman Memorial Hospital Corporation (Scotland Medical Clinic)
• Landmann Jungman Memorial Hospital Corporation (Landmann Jungman Memorial Hospital)
• Glen D McBride Jr., M.A., CCCSLP
• Ashley Nicola, CNP
• Brandi Pravecek, C.N.P.
• Ramos Clinic, PC
• Rebecca Jo Rippe, D.P.T
• Scotland Pharmacy

• Physical Therapy Assistant in Scotland, SD
• Providers in Scotland, SD by specialty
• Physical Therapy Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.