KYLE MAEREAN – Physical Therapist, NPI 1104786276

KYLE MAEREAN is a healthcare provider. based in Mission viejo, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 309211 (CA). The NPI Number for KYLE MAEREAN is 1104786276

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
KYLE MAEREAN
NPI
1104786276
Phone
(949) 582-0132
Address
26932 OSO PKWY STE 260
Enumeration Date
12 November 2025
Last Update Date
12 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9495828800
Graduation Year
2025 (1 year ago)
PAC ID
3274028378
Group Practice PAC ID
0749510634
Professional Enrollment ID
I20251216003260
Address ID
CA926915810MI26932PKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

9,448 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for KYLE MAEREAN

  • 26932 OSO PKWY STE 260

    MISSION VIEJO, CA 926915810

    Phone: (949) 582-0132

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251216003260IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92691)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749510634View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Can I verify KYLE MAEREAN with an NPI only?
You can start verification with NPI 1104786276 for KYLE MAEREAN, then check state licensing separately.
Can I rely on KYLE MAEREAN being an active provider?
As of the registry snapshot, KYLE MAEREAN is marked active.
What is KYLE MAEREAN's specialty?
The listing groups KYLE MAEREAN with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect KYLE MAEREAN on a map?
Expect Mission Viejo, California as a primary anchor for KYLE MAEREAN unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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