Tyler Shamblin, DPT
NPI 1417469362ActiveIndividual· Physical Therapist· South Charleston, WV
Physical Therapist (DPT) in South Charleston, West Virginia, trained at Jc Edwards School of Medicine, Marshall University (class of 2017). Medicare paid $59,054 for services to 106 patients in 2024.
Overview
| NPI | 1417469362 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Nov 1, 2017 |
| Last updated in NPPES | Nov 1, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 003877 | WV |
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 (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 106 |
|---|---|
| Services billed | 2,882 across 12 procedure codes |
| Paid by Medicare | $59,054 |
Education and affiliations
| Medical school | Jc Edwards School of Medicine, Marshall University |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- First Settlement Physical TherapyVienna, WV · 103 clinicians
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