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

Jerry Kilichumala, PT

Individual provider Physical Therapist · NPI 1134007065

Jerry Kilichumala, PT is a Physical Therapist in Private Practice in Sugar Land, Texas. Qualified in 2025, 1 year ago. Practices with Evolve Physical Therapy, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

800 Bonaventure Way Ste 167
Sugar Land, TX 77479-8007
Phone: (832) 559-2900
Fax: (832) 559-2900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1407311 (TX)

Record details

NPI number1134007065
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 27, 2025
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Evolve Physical Therapy, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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