Kyle Thomas Maynard, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT45002 Issued in FL

Practice address

315 Wootton Street
Units I and J
Boonton, NJ 07005

Phone

(973) 794-6040

NPI assigned

Aug 27, 2018

Last updated

Jul 27, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1235610338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 2ND AVE STE 210",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301611718",
            "telephone_number": "407-542-1224",
            "fax_number": "407-542-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WOOTTON STREET",
            "address_2": "UNITS I AND J",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "07005",
            "telephone_number": "973-794-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 E State Road 434 Ste 2001B",
            "address_purpose": "LOCATION",
            "city": "Winter Springs",
            "state": "FL",
            "postal_code": "327082744",
            "country_code": "US",
            "telephone_number": "407-542-1224",
            "fax_number": "407-542-1155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "KYLE",
        "middle_name": "THOMAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01817500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT45002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Elizabeth Maino-Socienski, LCSW
• Danielle N. Malysa, LSW
• Matthew Mandel
• Gabriel John Manlangit
• Laura Marchese-Sidoti, LPC,LMT,MMP
• Mary McAloon, LCSW
• Marisa McAuliffe
• Alvin Joseph McCarthy, L.S.W.
• Stephanie Anne McGhee, LCSW
• Maureen McGreal, PH.D.

• Physical Therapist in Boonton, NJ
• Providers in Boonton, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.