Jacklyn Kokuashvili, - Physical Therapist in Agoura Hills, CA

Jacklyn Kokuashvili, is a Physical Therapist based in Agoura Hills, California. Jacklyn Kokuashvili is licensed to practice in California (license number 307149) and her current practice location is 30851 Agoura Rd Ste 300a, Agoura Hills, California. She can be reached at her office (for appointments etc.) via phone at (818) 532-7600.

NPI number for Jacklyn Kokuashvili is 1407668064 and her current mailing address is 5301 Via Pisa, Newbury Park, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407668064.

Contact Information

Jacklyn Kokuashvili,
30851 Agoura Rd Ste 300a,
Agoura Hills, CA 91301-4346
(818) 532-7600
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJacklyn Kokuashvili
GenderFemale
SpecialityPhysical Therapist
Location30851 Agoura Rd Ste 300a, Agoura Hills, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407668064
  • Provider Enumeration Date: 01/22/2025
  • Last Update Date: 01/22/2025

Medical Identifiers

Medical identifiers for Jacklyn Kokuashvili such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407668064NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 307149 (California)Primary

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. Jacklyn Kokuashvili is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacklyn Kokuashvili,
5301 Via Pisa,
Newbury Park, CA 91320-7007

Ph: () -
Jacklyn Kokuashvili,
30851 Agoura Rd Ste 300a,
Agoura Hills, CA 91301-4346

Ph: (818) 532-7600

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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