Kenneth Mauck, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21788 Issued in CA

Practice address

910 Camino del Mar Ste G
Del Mar, CA 92014-2800

Phone

(619) 933-2610

NPI assigned

May 11, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jordan Physical Therapy Center IncGroup PAC ID 8325093693, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Jordan Physical Therapy Center Inc

  • Physical Therapist
  • Palm Desert, CA
  • NPI 1730260407
  Medicare reassignment Care Compare group NPD
• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment NPD
• Torrey Pines Orthopaedic Medical Group Inc

  • Orthopaedic Surgery Physician
  • La Jolla, CA
  • NPI 1982749586

  Physical Therapist

  Medicare reassignment NPD
• Torrey Pines Orthopaedic Medical Group Inc

  • Orthopaedic Surgery Physician
  • La Jolla, CA
  • NPI 1942344791

  Physical Therapist

  NPD
• Zenergy Physical Therapy, Inc

  • Orthopedic Physical Therapist
  • Del Mar, CA
  • NPI 1366710923
  NPD

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1336675289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 CAMINO DEL MAR",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142800",
            "telephone_number": "619-933-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 CAMINO DEL MAR STE G",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142800",
            "telephone_number": "619-933-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUCK",
        "first_name": "KENNETH",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2026-08-24",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bill Craig Martin, MFT
• Christine Claytie Mason
• Ann O Massion, M.D.
• Preeti Prakash Mathur, M.D.
• Matt McDonald DDS Inc
• Matthew William McDonald, D.D.S.
• James Oliver McElroy, D.C.
• McHugh & McHugh, PC
• Christopher Michael McHugh, D.C.
• Kimberly Elizabeth McHugh, D.C.

• Physical Therapist in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.