Individual provider Active NPI

Shawna Troupe

  • Physical Therapist
  • Jackson, WY
National Provider Identifier
1144962820
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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 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

TypeEndpointUseAffiliation
Direct Messaging Address shawna@fourpinespt.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220616001420 WY Practitioner - Physical Therapist in Private Practice 1557740867 Reassigns benefits to 2 organizations

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
Four Pines Physical Therapy Limited PartnershipGroup PAC ID 7416478573, 13 clinicians

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

OrganizationSpecialtyStatusNew patients
Four Pines Physical Therapy PC Physical Therapist CurrentSince Jun 7, 2022 Accepting new patients
Four Pines Physical Therapy Limited Partnership Physical Therapist CurrentSince Mar 1, 2025 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.

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.

Verify at the official NPI Registry.