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

Mr. Kyota Shizuku, PT

Individual provider Physical Therapist · NPI 1336576016

Mr. Kyota Shizuku, PT is a Physical Therapist in Private Practice in Polson, Montana. Qualified in 2011, 15 years ago. Practices with St Lukes Community Hospital, a 61-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
15
Licensed in
MT
In the registry since
2013
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

107 Ridgewater Dr
Polson, MT 59860-8977
Phone: (406) 883-3737
Fax: (406) 883-2669
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2418 (MT)

Record details

NPI number1336576016
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 26, 2013
Last updated in NPPESOctober 14, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice St Lukes Community Hospital — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Polson