Active NPI
Shawna Troupe
- Physical Therapist
- Jackson, WY
National Provider Identifier
1144962820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1175 S Hwy 89 Ste a
Jackson, WY 83001-8512 - Phone
- (307) 733-5577
- Fax
- (307) 733-5505
- NPI assigned
- Apr 12, 2022
- Last updated
- Apr 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
1175 S Hwy 89 Ste a
Jackson, WY 83001-8512
Mailing address
PO Box 8467
Jackson, WY 83002-8467
Other practice location 1
46 Iron Horse Rd
Ste 2
Alpine, WY 83128-8101
Phone (307) 654-5577
Other practice location 2
1100 W Wilson St Ste 8
Pinedale, WY 82941-5400
Phone (307) 367-3452
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shawna@fourpinespt.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
70 Emerger Ave
Alpine, WY 83128
Phone (307) 654-5577
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Pines Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Four Pines Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
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.
-
- Physical Therapist
- Jackson, WY
- NPI 1578373890
-
- Physical Therapist
- Jackson, WY
- NPI 1013090539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1144962820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8467",
"city": "JACKSON",
"state": "WY",
"postal_code": "830028467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 S HWY 89 STE A",
"city": "JACKSON",
"state": "WY",
"postal_code": "830018512",
"telephone_number": "307-733-5577",
"fax_number": "307-733-5505"
}
],
"practiceLocations": [
{
"address_1": "46 Iron Horse Rd",
"address_2": "Ste 2",
"address_purpose": "LOCATION",
"city": "Alpine",
"state": "WY",
"postal_code": "831288101",
"country_code": "US",
"telephone_number": "307-654-5577",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 W Wilson St Ste 8",
"address_purpose": "LOCATION",
"city": "Pinedale",
"state": "WY",
"postal_code": "829415400",
"country_code": "US",
"telephone_number": "307-367-3452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TROUPE",
"first_name": "SHAWNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-12",
"last_updated": "2022-04-12",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shawna@fourpinespt.com",
"affiliation": "N",
"endpointDescription": "email address",
"address_1": "1175 S Hwy 89 Ste A",
"city": "Jackson",
"state": "WY",
"country_code": "US",
"postal_code": "830018512",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jackson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.