Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kieran McQuade, PT

Individual provider Physical Therapist · NPI 1093578692

Kieran McQuade, PT is a Physical Therapist in Private Practice in San Luis Obispo, California. Qualified in 2023, 3 years ago. Practices with San Luis Physical Therapy and Orthopedic Rehabilitation Inc, a 84-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

805 Aerovista Pl Ste 104
San Luis Obispo, CA 93401-7921
Phone: (805) 543-7771
Fax: (805) 543-7761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT305579 (CA)

Record details

NPI number1093578692
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 5, 2024
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice San Luis Physical Therapy And Orthopedic Rehabilitation Inc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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