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

Mr. Khaleelur Zackariya, PT

Individual provider Physical Therapist · NPI 1639126592

Mr. Khaleelur Zackariya, PT is a Physical Therapist in Private Practice in Elkhart, Indiana. Qualified in 1995, 31 years ago. Practices with Creative Health Care Management LLC, a 88-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
31
Licensed in
IN
In the registry since
2006
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

333 W Mishawaka Rd
Elkhart, IN 46517-1921
Phone: (574) 293-1550
Fax: (574) 970-4698
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1220 E Jackson Blvd, Elkhart, IN 46516-4419 — (574) 333-9747

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05006993A (IN)

Record details

NPI number1639126592
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedMay 27, 2006
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Creative Health Care Management Llc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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