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

Tyee Charlton, PT

Individual provider Physical Therapist · NPI 1417395906

Tyee Charlton, PT is a Physical Therapist in Private Practice in Walnut Creek, California. Qualified in 2023, 3 years ago. Practices with Sports and Orthopedic Leaders Physical Therapy Inc, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Nevada and Washington.

Years since qualifying
3
Licensed in
CA, NV, WA
In the registry since
2013
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1651 Botelho Dr Ste 150
Walnut Creek, CA 94596-5068
Phone: (925) 386-5657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4765 S Durango Dr Ste 106, Las Vegas, NV 89147-8158 — (702) 898-7633

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 310033 (CA)
Physical Therapist Taxonomy 225100000X · Licence PT60698384 (WA)
Physical Therapist Taxonomy 225100000X · Licence 2821 (NV)

Record details

NPI number1417395906
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 6, 2013
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sports And Orthopedic Leaders Physical Therapy Inc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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