Tyler Carl Shandra, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0017021 Issued in CO

Practice address

2175 E 11TH St
Loveland, CO 80537-3238

Phone

(970) 593-9300

Fax

(970) 593-9318

NPI assigned

Jun 10, 2020

Sex

Male

Sole proprietor

Yes

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 CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rocky Mountain Physical Therapy, IncGroup PAC ID 6901947647, 22 clinicians

Phoenix PT and Sports Rehabilitation LLCGroup PAC ID 5193204618, 2 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.

• Phoenix Physical Therapy LLC

  • Physical Therapist
  • Loveland, CO
  • NPI 1811886732
  Medicare reassignment Care Compare group NPD Authorized official
• Rocky Mountain Physical Therapy, Inc

  • Physical Therapist
  • Windsor, CO
  • NPI 1790013001
  Medicare reassignment Care Compare group NPD
• Covell Care and Rehabilitation, LLC

  • Home Health Agency
  • Windsor, CO
  • NPI 1063695351

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1366067852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N MELDRUM ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212022",
            "telephone_number": "714-743-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 E 11TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373238",
            "telephone_number": "970-593-9300",
            "fax_number": "970-593-9318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 N Meldrum St",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805212022",
            "country_code": "US",
            "telephone_number": "714-743-7311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANDRA",
        "first_name": "TYLER",
        "middle_name": "CARL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-10",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0017021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sensitive Solutions Behavioral Health LLS
• Janalee Joy Sexton, OTR/L
• Sexual Assault Victim Advocate Center
• Janice Shaffer, L.P.C.
• Leah Marie Shaheen, M.S., CCC-SLP
• McKenna Shanley
• Brenda Lee Sharp, PH.D.
• Nicole Sharp, IHP, LMT, CMLDT
• Heather Shasa, MS, RD
• Jamie Samantha Shatz, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.