Kyle Blaine Mahoney

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT028008 Issued in PA

Practice address

999 W Harrisburg Pike
Middletown, PA 17057-4801

Phone

(717) 944-3351

NPI assigned

Oct 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1811530710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4488 BROOKSVALE CT",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 W HARRISBURG PIKE",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170574801",
            "telephone_number": "717-944-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "KYLE",
        "middle_name": "BLAINE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zane A Loose, DC
• Trevor James Loyd, MS, LAT, ATC, CES
• Ericka Danielle Luft, DPT
• Andrew Lutzkanin III, MD
• Allen Ly, PHARMD
• Margaret Gilhooley Marino, M.S.N.,R.N.,C.S.
• Tracy Anne Marra, RPH
• Alexandra Concetta Marriggi Potter, DC
• Tracee L Matincheck, CRNP
• Carly McBeth

• Physical Therapist in Middletown, PA
• Providers in Middletown, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.