Georgin Jimmy Kaniyaly, DPT in Sammamish, WA - Medicare Physical Therapist Provider

Georgin Jimmy Kaniyaly, DPT is a medicare enrolled "Physical Therapist" provider in Sammamish, Washington. His current practice location is 4550 Klahanie Dr Se, Sammamish, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 391-2427.

Georgin Jimmy Kaniyaly is licensed to practice in Washington (license number PT61674861) 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
	4550 Klahanie Dr Se, Sammamish, WA 98029-5812
	(425) 391-2427
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Georgin Jimmy Kaniyaly
Gender	Male
Speciality	Physical Therapist
Location	4550 Klahanie Dr Se, Sammamish, Washington
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: 04/28/2025

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	1383635 (Texas)	Secondary
225100000X	Physical Therapist	LPT-033843 (Arizona)	Secondary
225100000X	Physical Therapist	28829 (Maryland)	Secondary
225100000X	Physical Therapist	PT61674861 (Washington)	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: (423) 238-7217	Georgin Jimmy Kaniyaly, DPT 4550 Klahanie Dr Se, Sammamish, WA 98029-5812 Ph: (425) 391-2427

Reviews and Comments

Physical Therapist in Sammamish, WA

Ryan Michael Doolittle, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2850 228th Ave Se Ste B, Sammamish, WA 98075 Phone: 425-391-4488 Fax: 425-391-8287
Kerri Petro Miller, Physical Therapist Medicare: Medicare Enrolled Practice Location: 22620 Se 4th St Ste 240, Sammamish, WA 98074 Phone: 425-200-0054 Fax: 425-636-3272
Danielle Miller, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22620 Se 4th St Ste 240, Sammamish, WA 98074 Phone: 425-200-0054 Fax: 425-636-3272
Ms. Feng-ing A Lin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4311 Issaquah Pine Lake Rd Se, Unit #1102, Sammamish, WA 98075 Phone: 425-837-3538 Fax: 425-837-3538
Janet M Mueller, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 243 210th Ave Ne, Sammamish, WA 98074 Phone: 425-868-1009
Tori L Lindsley, MS, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22739 Se 29th St, Sammamish, WA 98075 Phone: 425-392-4010 Fax: 425-392-4011
Ray Littles, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4550 Klahanie Dr Se, Sammamish, WA 98029 Phone: 425-391-2427

Georgin Jimmy Kaniyaly, DPT - Medicare Physical Therapist in Sammamish, WA