Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Georgin Jimmy Kaniyaly, DPT

Individual provider Physical Therapist · NPI 1952070997

Georgin Jimmy Kaniyaly, DPT is a Physical Therapist in Private Practice in Berkeley, California. Qualified in 2021, 5 years ago. Practices with California Luna Care Physical Therapy PC, a 773-clinician group and works from 7 locations. Licensed in Arizona, California, Maryland and Texas and 1 more.

Years since qualifying
5
Licensed in
AZ, CA, MD, TX, WA
In the registry since
2021
Specialties on file
5
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2000 Center St Ste 300
Berkeley, CA 94704-1223
Phone: (510) 644-3031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 2800 E Ajo Way Unit 200, Tucson, AZ 85713-6204 — (520) 462-0248
  • 1666 Checker Rd, Long Grove, IL 60047-5289 — (847) 419-1111
  • 13950 Brandywine Rd, Brandywine, MD 20613-5815 — (301) 782-2250
  • 8843 Branch Ave, Clinton, MD 20735-2632 — (301) 888-8003
  • 1300 Dacy Ln Ste 100, Kyle, TX 78640-4194 — (512) 213-8001
  • 4550 Klahanie Dr Se, Sammamish, WA 98029-5812 — (425) 391-2427

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 308958 (CA)
Physical Therapist Taxonomy 225100000X · Licence LPT-033843 (AZ)
Physical Therapist Taxonomy 225100000X · Licence PT61674861 (WA)
Physical Therapist Taxonomy 225100000X · Licence 28829 (MD)
Physical Therapist Taxonomy 225100000X · Licence 1383635 (TX)

Record details

NPI number1952070997
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 13, 2021
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice California Luna Care Physical Therapy Pc — 773 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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