Tyson Lee Shanholtzer
NPI 1306629613ActiveIndividual· Physical Therapist· Lakewood, CO
Physical Therapist with Sn Kentuckiana Rehab, LLC and 1 other group, practicing in Lakewood, Colorado. Medicare paid $25,767 for services to 55 patients in 2024.
Overview
| NPI | 1306629613 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 18, 2023 |
| Last updated in NPPES | Oct 20, 2025 |
| Certified by provider | Oct 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | CP049708T | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (KY); Practitioner - Physical Therapist in Private Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 55 |
|---|---|
| Services billed | 1,205 across 10 procedure codes |
| Paid by Medicare | $25,767 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Sn Kentuckiana Rehab, LLCLouisville, KY · 346 clinicians
- Highline Physical Therapy GroupFederal Way, WA · 44 clinicians
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All 211 physical therapists in Lakewood · All physical therapists in Colorado