Georgin Jimmy Kaniyaly, DPT
NPI 1952070997ActiveIndividual· Physical Therapist· Berkeley, CA
Physical Therapist (DPT) with California Luna Care Physical Therapy PC and 2 other groups, practicing in Berkeley, California. Medicare paid $13,671 for services to 65 patients in 2024.
Overview
| NPI | 1952070997 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Sep 13, 2021 |
| Last updated in NPPES | Jan 28, 2026 |
| Certified by provider | Jan 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 308958 | CA |
| Physical Therapist | 225100000X | LPT-033843 | AZ |
| Physical Therapist | 225100000X | PT61674861 | WA |
| Physical Therapist | 225100000X | 28829 | MD |
| Physical Therapist | 225100000X | 1383635 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AZ); Practitioner - Physical Therapist in Private Practice (CA); Practitioner - Physical Therapist in Private Practice (DC); Practitioner - Physical Therapist in Private Practice (MD); Practitioner - Physical Therapist in Private Practice (TX); Practitioner - Physical Therapist in Private Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 65 |
|---|---|
| Services billed | 622 across 10 procedure codes |
| Paid by Medicare | $13,671 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- California Luna Care Physical Therapy PCLos Gatos, CA · 780 clinicians
- Select Cal Physical Therapy PCRiverside, CA · 136 clinicians
- Northwest Center for Sports Medicine and Physical Therapy IncTacoma, WA · 88 clinicians
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