Individual provider Active NPI

Maestela Quial Boyles, PT

  • Physical Therapist
  • Greenbrae, CA
National Provider Identifier
1306005889
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 32811 Issued in CA
Practice address
1220 S Eliseo Dr
Greenbrae, CA 94904-2006
Phone
(415) 461-0748
NPI assigned
Jun 9, 2008
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 32811 CA Primary

Addresses

Primary practice location

1220 S Eliseo Dr
Greenbrae, CA 94904-2006

Mailing address

1220 S Eliseo Dr
Greenbrae, CA 94904-2006
Phone (415) 461-0748

Other names 1

  • Ma Estela Quial Daraway Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250204001796 CA Practitioner - Physical Therapist in Private Practice 2961932132 Reassigns benefits to 1 organization
I20251216000439 GA Practitioner - Physical Therapist in Private Practice 2961932132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Georgia, LLCGroup PAC ID 4284063835, 80 clinicians

Practice addresses (Care Compare)

5610 Hampton Park Dr
Cumming, GA 30041-4004
Phone (470) 866-5540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 32811CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sand Coast Rehab Physical Therapy Inc Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients

Locations

441 E Carson St
Ste K
Carson, CA 90745
Phone (732) 375-0420

650 Harrison Ave
Claremont, CA 91711
Phone (888) 627-2900

201 W Wardlow Rd
Long Beach, CA 90807
Phone (562) 595-6529

29661 S Western Ave
Rancho Palos Verdes, CA 90275
Phone (310) 547-9941

3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403

3210 Sepulveda Blvd
Torrance, CA 90505
Phone (424) 571-2603

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1306005889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 S ELISEO DR",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042006",
            "telephone_number": "415-461-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 S ELISEO DR",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042006",
            "telephone_number": "415-461-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLES",
        "first_name": "MAESTELA",
        "middle_name": "QUIAL",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 32811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA ESTELA",
            "last_name": "DARAWAY",
            "middle_name": "QUIAL",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenbrae, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.