Khushali Tejasbhai Kukadiya, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

047071 Issued in NY

Practice address

4160 Main St Ste 201B
Flushing, NY 11355-3899

Phone

(718) 886-6696

Fax

(347) 732-9367

NPI assigned

Apr 15, 2024

Last updated

Apr 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Premium Medical Care, PCGroup PAC ID 6507949740, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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

• Premium Medical Care, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
  • NPI 1730399163
  Medicare reassignment Care Compare group NPD
• Rehab Care Medical PC

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
  • NPI 1689218646
  NPD
• Sense Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Flushing, NY
  • NPI 1043604028
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1831943190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PATERSON ST APT 2R",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072724",
            "telephone_number": "409-454-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 MAIN ST STE 201B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553899",
            "telephone_number": "718-886-6696",
            "fax_number": "347-732-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKADIYA",
        "first_name": "KHUSHALI",
        "middle_name": "TEJASBHAI",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Ku, D.D.S.
• Carenia Julie Kuan, MD
• Jackson Hsun Kuan, MD
• Katherine Kuang, MD
• Kathryn Adair Kubic, M.A. CCC-SLP, TSSLD
• Anna Kula, PA
• Viktoriya Kulyk, PT
• Pankush Kumar
• Rita Verma Kumar, DO
• Andrew Kung, M.D.

• Physical Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.