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

Tyson Lee Shanholtzer

Individual provider Physical Therapist · NPI 1306629613

Tyson Lee Shanholtzer is a Physical Therapist in Private Practice in Lakewood, Colorado. Qualified in 2023, 3 years ago. Practices with Sn Kentuckiana Rehab, LLC, a 343-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
3
Licensed in
CO
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3355 S Wadsworth Blvd Unit F107
Lakewood, CO 80227-5123
Phone: (360) 845-1801
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence CP049708T (CO)

Record details

NPI number1306629613
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 18, 2023
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025

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 Sn Kentuckiana Rehab, Llc — 343 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lakewood