Tyson Lee Shanholtzer

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP049708T Issued in CO

Practice address

3355 S Wadsworth Blvd Unit F107
Lakewood, CO 80227-5123

Phone

(360) 845-1801

NPI assigned

Aug 18, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, KY2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

Highline Physical Therapy GroupGroup PAC ID 8820172984, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Highline Physical Therapy Group

  • Physical Therapist
  • Burien, WA
  • NPI 1477797991
  Medicare reassignment Care Compare group NPD
• SN Kentuckiana Rehab, LLC

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1609349018
  Medicare reassignment Care Compare group
• Highline Physical Therapy Group

  • Physical Therapist
  • Bonney Lake, WA
  • NPI 1255147336
  NPD
• SN Kentuckiana Rehab, LLC

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1740809045
  NPD
• SN Kentuckiana Rehab, LLC

  • Rehabilitation Clinic/Center
  • Jeffersonville, IN
  • NPI 1851864169
  NPD
• Highline Physical Therapy Group

  • Multi-Specialty Clinic/Center
  • Burien, WA
  • NPI 1093876898

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1306629613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 S WADSWORTH BLVD UNIT F107",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275123",
            "telephone_number": "303-980-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 S WADSWORTH BLVD UNIT F107",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275123",
            "telephone_number": "360-845-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANHOLTZER",
        "first_name": "TYSON",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-18",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP049708T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoe E Shadowen
• Manan Udayan Shah, M.D.
• Rachael Shaheen, OMT
• Laura Carson Shain, LPC, MA, LAC, SOMB
• Heather Matheson Shanahan, M.S.P.T.
• Jennifer Rose Shanley
• Lindsay Shanley, PA-C
• Kimberly Rachel Shao, MD
• Cora Shapiro
• Debra Joy Shapiro, LIC. AC.

• Physical Therapist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.