Xiangdong Tang, DPT
NPI 1770308314ActiveIndividual· Physical Therapist· Centralia, WA
Physical Therapist (DPT) in Centralia, Washington, trained at University of Kentucky College of Medicine (class of 2024). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1770308314 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Nov 19, 2024 |
| Last updated in NPPES | Nov 19, 2024 |
| Certified by provider | Nov 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 61602759 | WA |
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 (WA) |
|---|
Education and affiliations
| Medical school | University of Kentucky College of Medicine |
|---|---|
| Graduation year | 2024 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Freeborn Wellness PLLCCentralia, WA · 4 clinicians
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All 52 physical therapists in Centralia · All physical therapists in Washington