Provider Profile

Jacklyn Kokuashvili

Unclaimed Profile

About Jacklyn Kokuashvili

Jacklyn Kokuashvili is a healthcare provider in Agoura Hills, CA specializing in physical therapist in private practice. Jacklyn is also listed as specializing in physical therapist. This provider record is associated with NPI 1407668064.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2024

Credentials & Licensing

CA · Physical TherapistPhysical Therapy Board of California
No. 307149CurrentExpires Feb 2028Since 2024
NPINational Provider Identifier
1407668064Issued 2025

Snapshot · verify with the board ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Jacklyn Kokuashvili's specialty?

Jacklyn Kokuashvili is a physical therapist in private practice in Agoura Hills, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Jacklyn Kokuashvili?

Jacklyn Kokuashvili is listed at 30851 Agoura Rd Ste 300A, Agoura Hills, CA 91301. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Jacklyn Kokuashvili?

The number on file is (818) 532-7600. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jacklyn Kokuashvili's NPI number?

Jacklyn Kokuashvili's National Provider Identifier is 1407668064. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Jacklyn Kokuashvili's education?

Jacklyn Kokuashvili attended Other, graduating in 2024. This comes from the CMS National Downloadable File.

CMS public data

How long has Jacklyn Kokuashvili been practicing?

Jacklyn Kokuashvili has 2 years experience. Calculated from a graduation year of 2024, reported in the CMS National Downloadable File.

CMS public data

Has Jacklyn Kokuashvili confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jacklyn Kokuashvili. If this is you, claiming it is free.

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