Tyson Lee Shanholtzer, - Medicare Physical Therapist in Lakewood, CO

Tyson Lee Shanholtzer, is a medicare enrolled "Physical Therapist" provider in Lakewood, Colorado. He graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Sn Kentuckiana Rehab, Llc, Highline Physical Therapy Group and his current practice location is 3355 S Wadsworth Blvd Unit F107, Lakewood, Colorado. You can reach out to his office (for appointments etc.) via phone at (360) 845-1801.

Tyson Lee Shanholtzer is licensed to practice in Colorado (license number CP049708T) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306629613.

Contact Information

Tyson Lee Shanholtzer,
3355 S Wadsworth Blvd Unit F107,
Lakewood, CO 80227-5123
(360) 845-1801
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTyson Lee Shanholtzer
GenderMale
SpecialityPhysical Therapist In Private Practice
Experience3 Years
Location3355 S Wadsworth Blvd Unit F107, Lakewood, Colorado
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tyson Lee Shanholtzer graduated from medical school in 2023
  NPI Data:
  • NPI Number: 1306629613
  • Provider Enumeration Date: 08/18/2023
  • Last Update Date: 10/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4284080185
  • Enrollment ID: I20260319001049

Medical Identifiers

Medical identifiers for Tyson Lee Shanholtzer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306629613NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist CP049708T (Colorado)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sn Kentuckiana Rehab, Llc1254671464341
Highline Physical Therapy Group882017298445

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyson Lee Shanholtzer is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tyson Lee Shanholtzer,
3355 S Wadsworth Blvd Unit F107,
Lakewood, CO 80227-5123

Ph: (303) 980-6762
Tyson Lee Shanholtzer,
3355 S Wadsworth Blvd Unit F107,
Lakewood, CO 80227-5123

Ph: (360) 845-1801

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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