XIANGDONG TANG (DPT) – Physical Therapist, NPI 1770308314

XIANGDONG TANG (DPT) is a healthcare provider. based in Centralia, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 61602759 (WA). The NPI Number for XIANGDONG TANG (DPT) is 1770308314

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
XIANGDONG TANG (DPT)
NPI
1770308314
Phone
Not provided
Address
515 HARRISON AVE STE A
Enumeration Date
19 November 2024
Last Update Date
19 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
3608702473
Graduation Year
2024 (2 years ago)
PAC ID
1850812884
Group Practice PAC ID
9032520473
Professional Enrollment ID
I20250608000085
Address ID
WA985311300CE515XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for XIANGDONG TANG (DPT)

  • 515 HARRISON AVE STE A

    CENTRALIA, WA 985311300

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250608000085IPhysical Therapist In Private PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 98531)

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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: 9032520473View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeWA
Occupational Therapist In Private PracticeWA
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeWA
Occupational Therapist In Private PracticeWA

Reviews

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Frequently asked questions

What number should I use to identify XIANGDONG TANG (DPT) for billing?
Administrative and clinical systems typically use NPI 1770308314 for XIANGDONG TANG (DPT).
Is XIANGDONG TANG (DPT)'s NPI status active today?
Active status means XIANGDONG TANG (DPT)'s NPI record is not deactivated in the public file.
What services align with XIANGDONG TANG (DPT)'s listing?
XIANGDONG TANG (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to XIANGDONG TANG (DPT)?
XIANGDONG TANG (DPT) shows a connection to Centralia, Washington in registry-derived data.
Can I export XIANGDONG TANG (DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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