Angela Kaye Moore Tanaka, DPT
NPI 1053498543ActiveIndividual· Physical Therapist· St George, UT
Physical Therapist (DPT) in St George, Utah, licensed in ID, with an NPI issued in November 2006. Medicare paid $302,001 for services to 202 patients in 2024.
Overview
| NPI | 1053498543 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Nov 1, 2006 |
| Last updated in NPPES | Jul 22, 2021 |
| Certified by provider | Jul 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT-2022 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 202 |
|---|---|
| Services billed | 19,002 across 10 procedure codes |
| Paid by Medicare | $302,001 |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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