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

Q: What is Maritess Kennedy's NPI number?

The NPI number for Maritess Kennedy is 1164810586. It was assigned to this individual provider in the NPPES registry on January 7, 2015.

Q: What is Maritess Kennedy's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for Maritess Kennedy was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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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

Phone(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

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maritess Kennedy's NPI number?

The NPI number for Maritess Kennedy is 1164810586. It was assigned to this individual provider in the NPPES registry on January 7, 2015.

Where is Maritess Kennedy located?

Maritess Kennedy practices at 16705 Prairie Fawn Ct, San Diego, CA 92127. The listed phone number is (858) 524-6644.

What is Maritess Kennedy's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Maritess Kennedy was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.