Shane Koppenhaver, MPT, OCS

NPI 1952385163 · on the registry since 2005

Practice

Address: 3851 Roger Brooke Dr
(Bamc Mche-Qd/ Credentials)
Fort Sam Houston, TX 78234
Phone: (210) 916-1920
Organisation at this address: Bamc
Dfasin-Adimb U.S. Army
San Antonio Military Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 365

Registry record

Primary taxonomy: 2251X0800X
2251X0800X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas