Active NPIIndividual provider

Kyle T Maynard, PT, DPT

Physical Therapist in Boonton, New Jersey

NPI Number1235610338
Practice location
315 Wootton Street, Units I And J, Boonton, NJ 07005
Fax
—
Last updated
July 27, 2026

Kyle Thomas Maynard is a Physical Therapist based in Boonton, NJ. Kyle Thomas Maynard practices in Boonton, NJ and has the professional credentials of PT, DPT. The NPI Number for Kyle Thomas Maynard is 1235610338 and holds a License No. 40QA01817500 (NJ). The current practice location address for Kyle Thomas Maynard is 315 Wootton Street, Units I And J, Boonton, NJ 07005 and can be reached out via phone at 973-794-6040.

Provider Profile Details

NPI Number
1235610338
Provider Name
Kyle Thomas Maynard
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Male
Address
315 Wootton Street, Units I And J, Boonton, NJ 07005
Phone Number
973-794-6040
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 27, 2018
Last Update Date
July 27, 2026
Certification Date
July 27, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
315 Wootton Street
Units I And J
Boonton, NJ 07005
Zip
07005
Phone Number
973-794-6040
Boonton, NJ 07005Get directions →

Provider Business Mailing Address Details

Address
100 E 2ND Ave Ste 210
Rome, GA 30161-1718
City
Rome
State
GA
Zip
30161-1718
Phone Number
407-542-1224
Fax Number
407-542-1155

License Information

License Number (1)
40QA01817500
License State (1)
NJ
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
PT45002
License State (2)
FL
Taxonomy (2)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physical Therapists near Boonton, NJ

View all Physical Therapists in Boonton →

Frequently Asked Questions

What is the NPI number of Kyle T Maynard, PT, DPT?

The NPI number of Kyle T Maynard, PT, DPT is 1235610338. It was assigned on August 27, 2018 and is currently active in the NPPES registry.

What is the specialty of Kyle T Maynard, PT, DPT?

Kyle T Maynard, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01817500.

Where does Kyle T Maynard, PT, DPT practice?

The practice location is 315 Wootton Street, Units I And J, Boonton, NJ 07005. The office can be reached at 973-794-6040 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235610338 directly on the NPPES registry website.

Browse related providers