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

Shane Thoreson, MPT

Individual provider Physical Therapist · NPI 1639499650

Shane Thoreson, MPT is a Physical Therapist in Saint Peters, Missouri. Licensed in Missouri. Registered with an NPI since 2010.

Licensed in
MO
In the registry since
2010
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4800 Mexico Rd Ste 104
Saint Peters, MO 63376-1666
Phone: (636) 939-9540
Fax: (636) 939-9886
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2013040780 (MO)

Record details

NPI number1639499650
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedJune 2, 2010
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021
Mailing address2454 W Clay St, Saint Charles, MO 63301-2548

Other providers in Saint Peters