Destiny Kennedy, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

09696 Issued in LA

Practice address

5404 Highway 22 Ste 200
Mandeville, LA 70471-2518

Phone

(985) 272-1017

Fax

(985) 272-1016

NPI assigned

Jul 26, 2017

Last updated

Sep 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Physical Therapy LLCGroup PAC ID 8628496189, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Physical Therapy, LLC

  • Physical Therapist
  • Mandeville, LA
  • NPI 1568081404
  Medicare reassignment Care Compare group NPD
• Superior Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Metairie, LA
  • NPI 1154361749
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1205350824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 HIGHWAY 22 STE 200",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712518",
            "telephone_number": "985-272-1017",
            "fax_number": "985-272-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 HIGHWAY 22 STE 200",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712518",
            "telephone_number": "985-272-1017",
            "fax_number": "985-272-1016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2132 Gause Blvd E Ste 6",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704614243",
            "country_code": "US",
            "telephone_number": "985-646-2531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1202 S Tyler St",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704332330",
            "country_code": "US",
            "telephone_number": "985-898-4424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "DESTINY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "09696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Kelley, M.ED, LPC, NCC
• William Joseph Kelley, M. D.
• Kelly G Burkenstock MD a Professional Medical Corporation
• Brandi Kelly, PHD
• Carla Fisher Kelly, P.T.
• John Kenney
• Melisa Keo, D.C., ATC
• Kathleen Keowen, M.A., CCC/SLP
• Peter Khong, PHARMACIST
• Kids in Crisis Project, Inc.

• Orthopedic Physical Therapist in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Orthopedic Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.