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

Kyle S McIntyre

Individual provider Physical Therapist · NPI 1407530017

Kyle S McIntyre is a Physical Therapist in Private Practice in Marlton, New Jersey. Qualified in 2023, 3 years ago. Practices with Restore Physical Therapy, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2023
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Practice location Address checks out

230 N Maple Ave Ste B10
Marlton, NJ 08053-9423
Phone: (856) 396-2500
Fax: (856) 396-2525
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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 40QA02179900 (NJ)

Record details

NPI number1407530017
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 14, 2023
Last updated in NPPESJune 14, 2023
Certification dateJune 13, 2023
Mailing address230 N Maple Ave Ste B10, Marlton, NJ 08053-9423

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 Restore Physical Therapy, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Marlton