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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130820001024 | KY | Practitioner - Physical Therapist in Private Practice | 5991947087 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humphries Physical Therapy, PLLC | Current |
Accepting new patients | |
| Fuller Physical Therapy | Physical Therapist | Current |
Accepting new patients |
| Aspire Therapy Services LLC | Physical Therapist | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- David L Higgins
- Sharon Hodges
- Kimberly Ann Jackson
- James D. Phillips, DMD,PSC
- Alice M Kelley
- Winona F Lambdin
- Tristan K Lineberry
- Brad Long
- Joseph Lowery
- Lori R Marrero
All providers in Providence, KY · Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.