| Kenneth Mauck, PT | |
|
910 Camino Del Mar Ste G, Del Mar, CA 92014-2800 | |
| (619) 933-2610 | |
| Not Available |
| Full Name | Kenneth Mauck |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 910 Camino Del Mar Ste G, Del Mar, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336675289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT21788 (California) | Primary |
| Provider Name | Torrey Pines Orthopaedic Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982749586 PECOS PAC ID: 8820077712 Enrollment ID: O20040714001648 |
| Provider Name | California Luna Care Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
| Provider Name | Del Mar Village Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1447958350 PECOS PAC ID: 4486028065 Enrollment ID: O20230322000633 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Mauck, PT 910 Camino Del Mar, Del Mar, CA 92014-2800 Ph: (619) 933-2610 | Kenneth Mauck, PT 910 Camino Del Mar Ste G, Del Mar, CA 92014-2800 Ph: (619) 933-2610 |
Kayla Frost, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3790 Via De La Valle, Del Mar, CA 92014 Phone: 858-350-6500 | |
Ms. Virginia Genevieve Gamble, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2825 Camino Del Mar, Apt 66, Del Mar, CA 92014 Phone: 310-985-9303 | |
Arianna Robichaux, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12865 Pointe Del Mar Way Ste 190, Del Mar, CA 92014 Phone: 844-316-7979 Fax: 866-813-1235 | |
Shawna Crescenzo, MSPT, OCS, CPI Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 910 Camino Del Mar Ste G, Del Mar, CA 92014 Phone: 858-792-1124 Fax: 858-792-7775 | |
Mr. Matthew S. Walzer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12865 Pointe Del Mar Way, Suite 200, Del Mar, CA 92014 Phone: 858-535-1894 Fax: 858-535-1863 | |
Mr. Robert Michael Quintas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 317 14th St, Del Mar, CA 92014 Phone: 858-755-1229 | |
Michael Evan Kastan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2690 Via De La Valle Ste D160, Del Mar, CA 92014 Phone: 858-290-0855 |