Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shane Lee Edmondson, PT, DPT

Individual provider Physical Therapist · NPI 1285272377

Shane Lee Edmondson, PT, DPT is a Physical Therapist in Tyler, Texas. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5407 New Copeland Rd Ste 100
Tyler, TX 75703-3997
Phone: (903) 630-7204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1285272377
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedDecember 19, 2019
Last updated in NPPESDecember 19, 2019
Certification dateDecember 19, 2019

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