Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessi B Shane, PTA

Individual provider Physical Therapy Assistant · NPI 1174363055

Jessi B Shane, PTA is a Physical Therapy Assistant in Centerview, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

386 SW 811th Rd
Centerview, MO 64019-9291
Phone: (409) 719-8036
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2024003807 (MO)

Record details

NPI number1174363055
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMay 29, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address386 Sw 811th Rd, Centerview, MO 64019-9291