Individual provider Active NPI

Shawna Lynn Cooper, MPT

  • Physical Therapist
  • Kenai, AK
National Provider Identifier
1083844898
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1448 Issued in AK
Practice address
36901 Mallard Rd
Kenai, AK 99611-6434
Phone
(907) 252-2516
Fax
(907) 802-4524
NPI assigned
Jul 15, 2009
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1448 AK Primary

Addresses

Primary practice location

36901 Mallard Rd
Kenai, AK 99611-6434

Mailing address

36901 Mallard Rd
Kenai, AK 99611-6434
Phone (907) 252-2516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Rehabilitation and Wellness, LLC CurrentSince Jul 9, 2025 Accepting new patients
Anchorage Fracture and Orthopaedic Clinic, PC Past Accepting new patients

Locations

36901 Mallard Rd
Kenai, AK 99611
Phone (907) 283-3752

Organizations & group practices 2

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": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1083844898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36901 MALLARD RD",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996116434",
            "telephone_number": "907-252-2516",
            "fax_number": "907-802-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36901 MALLARD RD",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996116434",
            "telephone_number": "907-252-2516",
            "fax_number": "907-802-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SHAWNA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenai, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.