DESTINY KENNEDY DPT
NPI 1205350824
Physical Therapist - Orthopedic in Mandeville, LA

Active since July 26, 2017Accepts Medicare Assignment
5404 HIGHWAY 22 STE 200, MANDEVILLE, LA 70471(985) 272-1017(985) 272-1016 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 3, 2025, Mar 17, 2018, Jul 26, 2017 (3 updates tracked since 2017).

About Destiny Kennedy Dpt NPPES

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

DESTINY KENNEDY DPT (NPI 1205350824) is an individual orthopedic provider in Mandeville, Louisiana, licensed in Louisiana (09696) and active in the NPI registry since July 2017. She maintains 2 additional practice locations and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205350824
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameDESTINY KENNEDYCredential: DPT
Location Address5404 HIGHWAY 22 STE 200Mandeville, LA 70471-2518
Mailing Address5404 Highway 22 Ste 200Mandeville, LA 70471-2518 · (985) 272-1017 · Fax (985) 272-1016
Fax(985) 272-1016
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 26, 2017
Last NPPES UpdateSeptember 3, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
NPI 1205350824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in LA · 09696
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Also ListedPhysical TherapistTaxonomy 225100000X
5404 HIGHWAY 22 STE 200, Mandeville, LA 70471

Secondary Practice Locations 2

Location 11202 S Tyler StCovington, LA 70433-2330 · Phone (985) 898-4424
Location 22132 Gause Blvd E Ste 6Slidell, LA 70461-4243 · Phone (985) 646-2531

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Destiny Kennedy Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193246973
PECOS Enrollment IDI20250310001590

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
5404 HIGHWAY 22 STE 200
MANDEVILLE, LA 70471
Physical Medicine & Rehabilitation
5404 HIGHWAY 22 STE 200
MANDEVILLE, LA 70471
Physical Therapist
5404 HIGHWAY 22 STE 200
MANDEVILLE, LA 70471
Physical Therapist
5404 HIGHWAY 22 STE 200
MANDEVILLE, LA 70471

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 Destiny Kennedy's NPI number?

The NPI number for Destiny Kennedy is 1205350824. It was assigned to this individual provider in the NPPES registry on July 26, 2017.

Where is Destiny Kennedy located?

Destiny Kennedy practices at 5404 Highway 22 Ste 200, Mandeville, LA 70471. The listed phone number is (985) 272-1017.

What is Destiny Kennedy's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Destiny Kennedy enrolled in Medicare?

Yes. Destiny Kennedy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Destiny Kennedy accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Destiny Kennedy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Destiny Kennedy was last updated on September 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.