Georgin Jimmy Kaniyaly, DPT in Tucson, AZ - Medicare Physical Therapist Provider

Georgin Jimmy Kaniyaly, DPT is a medicare enrolled "Physical Therapist" provider in Tucson, Arizona. His current practice location is 2800 E Ajo Way Unit 200, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 462-0248.

Georgin Jimmy Kaniyaly is licensed to practice in Arizona (license number LPT-033843) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952070997.

Contact Information

	Georgin Jimmy Kaniyaly, DPT
	2800 E Ajo Way Unit 200, Tucson, AZ 85713-6204
	(520) 462-0248
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Georgin Jimmy Kaniyaly
Gender	Male
Speciality	Physical Therapist
Location	2800 E Ajo Way Unit 200, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952070997
Provider Enumeration Date: 09/13/2021
Last Update Date: 12/10/2024

Medicare PECOS Information:

PECOS PAC ID: 3173999026
Enrollment ID: I20221018000090

Medical Identifiers

Medical identifiers for Georgin Jimmy Kaniyaly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952070997	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	28829 (Maryland)	Secondary
225100000X	Physical Therapist	1383635 (Texas)	Secondary
225100000X	Physical Therapist	LPT-033843 (Arizona)	Primary
225100000X	Physical Therapist	070026222 (Illinois)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Georgin Jimmy Kaniyaly allows following entities to bill medicare on his behalf.

Provider Name	Professional Sportscare & Rehab Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1033142294 PECOS PAC ID: 9335137363 Enrollment ID: O20160418000007

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Georgin Jimmy Kaniyaly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Georgin Jimmy Kaniyaly, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: () -	Georgin Jimmy Kaniyaly, DPT 2800 E Ajo Way Unit 200, Tucson, AZ 85713-6204 Ph: (520) 462-0248

Reviews and Comments

Physical Therapist in Tucson, AZ

Shari A Myoraku, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 333 N Wilmot Rd Ste 340, Tucson, AZ 85711 Phone: 520-731-0566 Fax: 520-731-0564
Mr. Michael L Anderes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 N Wilmot Rd, Outpatient Rehabilitation, Tucson, AZ 85711 Phone: 520-873-3664
Matthew Joseph Phillips, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1020 S Harrison Rd Ste 120, Tucson, AZ 85748 Phone: 520-207-6288
Agility Spine & Sports Physical Therapy And Rehabilitation Lp Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8987 E Tanque Verde Rd, Suite 301, Tucson, AZ 85749 Phone: 520-884-9819 Fax: 520-884-0175
Arizona Mobile Outpatient Rehab Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7672 E Logan Pl, Tucson, AZ 85730 Phone: 520-275-3327
John Robert Klune, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1027 S Suncove Dr, Tucson, AZ 85748 Phone: 520-850-4850
Kevin Andrew Slowik, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3305 N Swan Rd Ste 115, Tucson, AZ 85712 Phone: 520-321-0204

Georgin Jimmy Kaniyaly, DPT - Medicare Physical Therapist in Tucson, AZ