Ma'Lady Jane Kynaston, PTA
NPI 1811720121ActiveIndividual· Physical Therapy Assistant· Eagle, ID
Physical Therapy Assistant (PTA) in Eagle, Idaho, licensed in ID, with an NPI issued in August 2024.
Overview
| NPI | 1811720121 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA |
| Sole proprietor | No |
| NPI issued | Aug 22, 2024 |
| Last updated in NPPES | Aug 25, 2024 |
| Certified by provider | Aug 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | PTA-4121 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapy Assistant providers in Eagle
- 1427897362
- 1033664974
- 1346584810