Kyle D Maughan (NPI# 1689088726, PAC ID# 4385969260) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1689088726 |
| PAC ID by PECOS | 4385969260 |
| Professional Enrollment ID | I20150218000003 |
| Full Name | Kyle D Maughan |
| Organization Legal Name | ACHIEVE PHYSICAL THERAPY PLLC |
| Address |
856 Banks Lowman Rd Garden Valley ID 83622-8102 |
| Phone Number | 2086589500 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8820177314 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4776 N Five Mile Rd, Suite 101, Boise, ID 83713-2715 | 2086589500 | ACHIEVE PHYSICAL THERAPY PLLC |
| 856 Banks Lowman Rd, Garden Valley, ID 83622-8102 | 2086589500 | ACHIEVE PHYSICAL THERAPY PLLC |
| Organization Legal Name | ACHIEVE PHYSICAL THERAPY PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana M Van Wyck | Physical Therapy | Achieve Physical Therapy Pllc | 4776 N Five Mile Rd, Suite 101, Boise, ID 83713-2715 |
| Reid J Patterson | Physical Therapy | Achieve Physical Therapy Pllc | 4776 N Five Mile Rd, Suite 101, Boise, ID 83713-2715 |
| Street Address |
856 BANKS LOWMAN RD |
| City | GARDEN VALLEY |
| State | ID |
| Zip | 83622-8102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison Marie Dwyer | Physician Assistant | Garden Valley Family Medicine PC | 856 Banks Lowman Rd, Garden Valley, ID 83622-8102 |
| Michael R Koenig | Family Medicine | Garden Valley Family Medicine PC | 856 Banks Lowman Rd, Garden Valley, ID 83622-8102 |
| Katie D Mallaburn | Physician Assistant | Garden Valley Family Medicine PC | 856 Banks Lowman Rd, Garden Valley, ID 83622-8102 |
| City | GARDEN VALLEY |
| Zip Code | 83622 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | GARDEN VALLEY + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kyle D Maughan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.