Individual provider Active NPI

Kyle Patrick Maquiling

  • Physical Therapy Assistant
  • Woodside, NY
National Provider Identifier
1144195181
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
014899-01 Issued in NY
Practice address
6111 Queens Blvd
Woodside, NY 11377-4965
Phone
(347) 855-9410
NPI assigned
Oct 8, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X 014899-01 NY Primary

Addresses

Primary practice location

6111 Queens Blvd
Woodside, NY 11377-4965

Mailing address

6044 59TH Rd
Maspeth, NY 11378-3204
Phone (347) 855-9410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
014899-01NYMDPhysical Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1144195181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6044 59TH RD",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113783204",
            "telephone_number": "347-855-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774965",
            "telephone_number": "347-855-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAQUILING",
        "first_name": "KYLE PATRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "014899-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.