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

Khushali Tejasbhai Kukadiya, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1831943190

Khushali Tejasbhai Kukadiya, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Flushing, New York. Qualified in 2018, 8 years ago. Practices with Premium Medical Care, PC, a 5-clinician group. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2024
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Practice location Address checks out

4160 Main St Ste 201B
Flushing, NY 11355-3899
Phone: (718) 886-6696
Fax: (347) 732-9367
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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 047071 (NY)

Record details

NPI number1831943190
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedApril 15, 2024
Last updated in NPPESApril 15, 2024
Certification dateApril 14, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Premium Medical Care, Pc — 5 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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