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

Mrs. Kristin Tyse Shadduck, PT

Individual provider Physical Therapist · NPI 1255348462

Mrs. Kristin Tyse Shadduck, PT is registered under Physical Therapist in Private Practice in Los Altos, California. Qualified in 1981, 45 years ago. Practices with Shadduck - Physical Therapy Works Inc, a 12-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
45
Licensed in
CA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

794 Altos Oaks Dr
Los Altos, CA 94024-6013
Phone: (650) 947-9646
Fax: (650) 947-9566
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 11542 (CA)

Record details

NPI number1255348462
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Shadduck - Physical Therapy Works Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients101
Services billed 3,656 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Shadduck - Physical Therapy Works Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Los Altos