MARITESS KENNEDY
NPI 1164810586
Physical Therapist - Geriatrics in San Diego, CA

Active since January 07, 2015
16705 PRAIRIE FAWN CT, SAN DIEGO, CA 92127(858) 524-6644 Get Directions Write a Review

NPPES record last updated: January 7, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maritess Kennedy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARITESS KENNEDY (NPI 1164810586) is an individual geriatrics provider in San Diego, California, licensed in California (AT4198) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1164810586
Entity TypeIndividualFemale
Primary Taxonomy2251G0304X
Provider Legal NameMARITESS KENNEDY
Location Address16705 PRAIRIE FAWN CTSan Diego, CA 92127-3408
Mailing Address16705 Prairie Fawn CtSan Diego, CA 92127-3408 · (858) 524-6644
Sole ProprietorYes
Enumeration DateJanuary 7, 2015
NPI 1164810586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License Licensed in CA · AT4198
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

16705 PRAIRIE FAWN CT, San Diego, CA 92127

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164810586, enumerated as an "individual" on January 07, 2015.

The provider is located at 16705 PRAIRIE FAWN CT SAN DIEGO, CA 92127 and the phone number is (858) 524-6644.

Physical Therapist with taxonomy code 2251G0304X and a focus in Geriatrics.