| Kyle Thomas Maynard, PT, DPT | |
|
315 Wootton Street, Units I And J, Boonton, NJ 07005 | |
| (973) 794-6040 | |
| Not Available |
| Full Name | Kyle Thomas Maynard |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 8 Years |
| Location | 315 Wootton Street, Boonton, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235610338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01817500 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | PT45002 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jag-one Physical Therapy Llc | 2769584325 | 334 |
| Provider Name | Jag-one Physical Therapy LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518017144 PECOS PAC ID: 2769584325 Enrollment ID: O20070228000306 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Thomas Maynard, PT, DPT 100 E 2nd Ave Ste 210, Rome, GA 30161-1718 Ph: (407) 542-1224 | Kyle Thomas Maynard, PT, DPT 315 Wootton Street, Units I And J, Boonton, NJ 07005 Ph: (973) 794-6040 |
Soleil Castro, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 315 Wootton St # Ij, Boonton, NJ 07005 Phone: 973-794-6040 Fax: 973-794-6041 |
Med Data Science Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 Taylortown Rd, Boonton, NJ 07005 Phone: 848-228-9359 |
Shawn Berry, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 315 Wootton Street, Units I And J, Boonton, NJ 07005 Phone: 973-794-6040 |
Dr. William Anthony Bottino Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 315 Wootton St, Units I And J, Boonton, NJ 07005 Phone: 973-794-6040 Fax: 973-794-6041 |
Dr. Mark Christopher Balzotti, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 315 Wootton St # Gh, Boonton, NJ 07005 Phone: 973-917-3088 Fax: 973-917-3089 |
Catherine M Saint Jacques, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 123 Hawkins Pl Unit K, Boonton, NJ 07005 Phone: 973-299-1690 |
Caitlin Cohen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Pine St, Boonton, NJ 07005 Phone: 973-714-2767 |