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

Mr. Shane Lowell Koppenhaver, MPT, OCS

Individual provider Orthopedic Physical Therapist · NPI 1952385163

Mr. Shane Lowell Koppenhaver, MPT, OCS is an Orthopedic Physical Therapist in Fort Sam Houston, Texas. Licensed in Virginia. Registered with an NPI since 2005.

Licensed in
VA
In the registry since
2005
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

3851 Roger Brooke Dr (bamc Mche-Qd/ Credentials)
Fort Sam Houston, TX 78234-4501
Phone: (210) 916-1920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 2305006682 (VA)

Record details

NPI number1952385163
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT , OCS
Sole proprietorNo
NPI enumeratedDecember 1, 2005
Last updated in NPPESJuly 13, 2026

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