Kyle Maerean
Physical Therapist in Mission Viejo, CA. Individual provider (NPI-1).
NPI number1104786276
StatusActive
Last updated in NPPESNov 12, 2025
Details
- NPI
- 1104786276
- Entity type
- Individual (NPI-1)
- Name
- Kyle Maerean
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 12, 2025
- Certification date
- Nov 12, 2025
- Last updated
- Nov 12, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 309211 | CA | Yes |
Practice location
26932 Oso Pkwy Ste 260Mission Viejo, CA 92691-5810
Phone 949-582-0132
Mailing address
26932 Oso Pkwy Ste 260Mission Viejo, CA 92691-5810
Phone 949-582-0132
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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