Kyota Shizuku, PT
NPI 1336576016ActiveIndividual· Physical Therapist· Polson, MT
Physical Therapist (PT) with St Lukes Community Hospital, practicing in Polson, Montana. Medicare paid $61,345 for services to 162 patients in 2024.
Overview
| NPI | 1336576016 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Sep 26, 2013 |
| Last updated in NPPES | Oct 14, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2418 | MT |
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 (MT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 162 |
|---|---|
| Services billed | 2,851 across 17 procedure codes |
| Paid by Medicare | $61,345 |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- St Lukes Community HospitalRonan, MT · 60 clinicians
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All 22 physical therapists in Polson · All physical therapists in Montana