MR. KENNETH A TUCKER P.T.
NPI 1225006430
Physical Therapist in San Rafael, CA

Active since March 14, 2006
711 D ST, #102, SAN RAFAEL, CA 94901(415) 456-3551(415) 457-7260 Get Directions Write a Review

NPPES record last updated: August 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenneth A Tucker P.t. NPPES

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

MR. KENNETH A TUCKER P.T. (NPI 1225006430) is an individual physical therapist in San Rafael, California, licensed in California (PT006218) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1225006430
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. KENNETH A TUCKERCredential: P.T.
Location Address711 D ST, #102San Rafael, CA 94901-3707
Mailing Address711 D St, #102San Rafael, CA 94901-3707 · (415) 456-3551 · Fax (415) 457-7260
Fax(415) 457-7260
Sole ProprietorYes
Enumeration DateMarch 14, 2006
Last NPPES UpdateAugust 10, 2010
NPI 1225006430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in CA · PT006218
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
711 D ST, San Rafael, CA 94901

Other Identifiers 2

Medicare ID-Type Unspecified00PT62180CA · Medicare Provider #
Other94-6366835CA · Tax Id#

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
711 D ST
SAN RAFAEL, CA 94901
Psychologist
711 D ST, SUITE 207
SAN RAFAEL, CA 94901
Chiropractor
711 D ST, SUITE 104
SAN RAFAEL, CA 94901
Counselor (Mental Health)
711 D ST, #201
SAN RAFAEL, CA 94901
Pediatrics (Adolescent Medicine)
711 D ST, SUITE 113
SAN RAFAEL, CA 94901
Marriage & Family Therapist
711 D ST, SUITE 201
SAN RAFAEL, CA 94901
Marriage & Family Therapist
711 D ST
SAN RAFAEL, CA 94901
Psychologist
711 D ST, #209
SAN RAFAEL, CA 94901

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 Kenneth Tucker's NPI number?

The NPI number for Kenneth Tucker is 1225006430. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Kenneth Tucker located?

Kenneth Tucker practices at 711 D St #102, San Rafael, CA 94901. The listed phone number is (415) 456-3551.

What is Kenneth Tucker's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Kenneth Tucker was last updated on August 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.