Kayla Jean Kukahiko, PT, DPT

Individual provider Active NPI Physical Therapist · Providence, KY

NPI 1043556491 · NPPES record last updated Jul 28, 2016

Key facts

NPI
1043556491
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
006147 (KY)
Practice address
123 E Main St
Providence, KY 42450-1268
Phone
(270) 515-8080
Fax
(270) 515-8082
NPI assigned
Dec 12, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humphries Physical Therapy, PLLC (3 clinicians)

Practice addresses (Care Compare)

51 Commerce St
Cadiz, KY 42211-9796
Phone (270) 206-7121

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130820001024 KY Practitioner - Physical Therapist in Private Practice 5991947087 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Humphries Physical Therapy, PLLC Current
since Apr 2, 2025
Accepting new patients
Fuller Physical Therapy Physical Therapist Current
since May 13, 2016
Accepting new patients
Aspire Therapy Services LLC Physical Therapist Current
since Apr 2, 2025
Accepting new patients
The P.T. Place, Inc Physical Therapist Past Accepting new patients

Locations

51 Commerce St
Cadiz, KY 42211
Phone (270) 206-7121

3014 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone (270) 206-7121

358 S Main St
Leitchfield, KY 42754
Phone (270) 256-2932

2072 US Highway 62 W
Princeton, KY 42445
Phone (270) 365-5226

123 E Main St
Providence, KY 42450
Phone (270) 515-8080

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006147 KY Yes

Addresses

Primary practice location

123 E Main St
Providence, KY 42450-1268

Mailing address

PO Box 445
Hartford, KY 42347-0445
Phone (270) 515-8080

Other providers in Providence, KY

All providers in Providence, KY · Physical Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.