SHANE LEE EDMONDSON (PT, DPT) – Physical Therapist, NPI 1285272377

SHANE LEE EDMONDSON (PT, DPT) is a healthcare provider. based in Tyler, Texas. specializing in Physical Therapist. They hold the professional credentials PT, DPT. The NPI Number for SHANE LEE EDMONDSON (PT, DPT) is 1285272377

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
SHANE LEE EDMONDSON (PT, DPT)
NPI
1285272377
Phone
(903) 630-7204
Address
5407 NEW COPELAND RD STE 100
Enumeration Date
19 December 2019
Last Update Date
19 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9036307204
Graduation Year
2019 (7 years ago)
PAC ID
7416386214
Group Practice PAC ID
8729304829
Professional Enrollment ID
I20200330003090
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

Provider Addresses for SHANE LEE EDMONDSON (PT, DPT)

  • 5407 NEW COPELAND RD STE 100

    TYLER, TX 757033997

    Phone: (903) 630-7204

    Type: Location

  • 202 CANYON DR

    HIDEAWAY, TX 757715040

    Phone: (903) 292-9183

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75703)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729304829View full group profile
NameSpecialtyState
MR. TERRY ALAN BUNKER (PT)
-TX
COOPER WAYNE GRIGSBY (DPT)
Physical Therapist In Private PracticeTX
LINDSY GRIGSBY
Physical Therapist In Private PracticeTX
DR. DENNIS DALE II CHOATE (DPT)
-TX
MEGAN COVINGTON (PT)
Physical Therapist In Private PracticeTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check SHANE LEE EDMONDSON (PT, DPT) using NPI 1285272377?
NPI 1285272377 belongs to SHANE LEE EDMONDSON (PT, DPT); compare other details if you need extra assurance.
Active or inactive — what applies to SHANE LEE EDMONDSON (PT, DPT)?
You should see SHANE LEE EDMONDSON (PT, DPT) as active in CMS-hosted NPPES data.
What clinical focus is listed for SHANE LEE EDMONDSON (PT, DPT)?
At a glance, SHANE LEE EDMONDSON (PT, DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SHANE LEE EDMONDSON (PT, DPT)?
Travel planning: use Tyler, Texas as the reference point for SHANE LEE EDMONDSON (PT, DPT), then confirm.
When was this NPI issued?
Enumeration for SHANE LEE EDMONDSON (PT, DPT) is noted as December 19, 2019 where the registry provides it.

Similar Providers

MRS. LEE ANN JOHNSON (PT)

Physical Therapist
3325, Chandler Highway, Tyler, Smith County, Texas, 75702, United States
NPI: 1346234705

MRS. JOANNA RENEE ENDSLEY (P.T.)

Physical Therapist
West 4th Street, Sunset Hills, Longview, Lee's Summit, Jackson County, Missouri, 64063, United States
NPI: 1114915188

WHITNEY LEIGH ORR (P.T.)

Physical Therapist
4802, Hallye Lane, Tyler, Smith County, Texas, 75703, United States
NPI: 1346200086

Physical Therapy Services

Physical Therapist
New Copeland Road, Tyler, Smith County, Texas, 75703, United States
NPI: 1336109859

COMBINED MEDICAL REHAB PARTNERS, LP

Chiropractor
East Front Street, Tyler, Smith County, Texas, 75702, United States
NPI: 1205882917

Direct RehabMed

Physical Medicine & Rehabilitation Physician
P.O. BOX 132929
NPI: 1609810308

BRANDON COBY MARROW (MSPT)

Physical Therapist
Jack in the Box, 6915, South Broadway Avenue, Tyler, Smith County, Texas, 75703, United States
NPI: 1447283320

JULIENNE STEWART (PT)

Physical Therapist
2323, West Front Street, Tyler, Smith County, Texas, 75702, United States
NPI: 1437251592