Georgin Jimmy Kaniyaly, DPT in Kyle, TX - Medicare Physical Therapist Provider

Georgin Jimmy Kaniyaly, DPT is a medicare enrolled "Physical Therapist" provider in Kyle, Texas. His current practice location is 1300 Dacy Ln Ste 100, Kyle, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 213-8001.

Georgin Jimmy Kaniyaly is licensed to practice in Texas (license number 1383635) 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
	1300 Dacy Ln Ste 100, Kyle, TX 78640-4194
	(512) 213-8001
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Georgin Jimmy Kaniyaly
Gender	Male
Speciality	Physical Therapist
Location	1300 Dacy Ln Ste 100, Kyle, Texas
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: 11/09/2023

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	070026222 (Illinois)	Secondary
225100000X	Physical Therapist	28829 (Maryland)	Secondary
225100000X	Physical Therapist	1383635 (Texas)	Primary

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 1300 Dacy Ln Ste 100, Kyle, TX 78640-4194 Ph: (512) 213-8001

Reviews and Comments

Physical Therapist in Kyle, TX

Jared Nugent, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Philomena Dr, Kyle, TX 78640 Phone: 512-812-9487
Texas Physical Therapy Specialists Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4100 Everett Dr Ste 130, Kyle, TX 78640 Phone: 512-738-8510
Dr. Sean Matthew Kishel, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1300 Dacy Ln Ste 100, Kyle, TX 78640 Phone: 512-213-8001 Fax: 512-436-0874
Elizabeth Cote, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4100 Everett Dr Ste 130, Kyle, TX 78640 Phone: 512-738-8510
Simran Gutierrez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 S Old Highway 81, Kyle, TX 78640 Phone: 512-504-3035
Deven Fuentes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4100 Everett Ste 130, Kyle, TX 78640 Phone: 512-738-8510
Dr. Katia Lizeth Pena Garcia, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4700 Cromwell Dr Apt 11304, Kyle, TX 78640 Phone: 270-303-2252

Georgin Jimmy Kaniyaly, DPT - Medicare Physical Therapist in Kyle, TX