Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth Mauck, PT

Individual provider Physical Therapist · NPI 1336675289

Kenneth Mauck, PT is a Physical Therapist in Private Practice in Del Mar, California. Qualified in 1996, 30 years ago. Practices with Jordan Physical Therapy Center Inc, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

910 Camino Del Mar Ste G
Del Mar, CA 92014-2800
Phone: (619) 933-2610
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT21788 (CA)

Record details

NPI number1336675289
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedMay 11, 2017
Last updated in NPPESFebruary 20, 2023
Certification dateFebruary 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Jordan Physical Therapy Center Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Del Mar