Jacklyn Kokuashvili
NPI 1407668064 · Physical Therapist · Agoura Hills, CA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacklyn Kokuashvili is a Physical Therapist provider in Agoura Hills, CA (NPI 1407668064).
Provider details
- NPI number
- 1407668064
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 307149 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-01-22
- Last updated
- 2025-01-22
- Certified
- 2025-01-21
Frequently asked questions
- What is Jacklyn Kokuashvili's NPI number?
- Jacklyn Kokuashvili's National Provider Identifier (NPI) is 1407668064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacklyn Kokuashvili's specialty?
- Jacklyn Kokuashvili is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jacklyn Kokuashvili located?
- Jacklyn Kokuashvili's practice location on file with NPPES is 30851 Agoura Rd Ste 300a, Agoura Hills, CA 91301-4346.
- What is Jacklyn Kokuashvili's phone number?
- The practice phone number listed in the NPPES registry for Jacklyn Kokuashvili is (818) 532-7600.
- Does Jacklyn Kokuashvili accept Medicare?
- Jacklyn Kokuashvili is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacklyn Kokuashvili's NPI active?
- Yes — Jacklyn Kokuashvili's NPI (1407668064) is active in the NPPES registry as of the last update on 2025-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.