Individual provider Active NPI

Kenneth Pavlinec, PT, CERT. MDT

  • Physical Therapist
  • Lakewood, NJ
National Provider Identifier
1043382989
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA007307 Issued in NJ
Practice address
870 River Ave
Lakewood, NJ 08701-5220
Phone
(732) 886-9900
Fax
(732) 886-9948
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X QA007307 NJ Primary

Addresses

Primary practice location

870 River Ave
Lakewood, NJ 08701-5220

Mailing address

780 Rte 37 W
Ste 210
Toms River, NJ 08755-5059
Phone (732) 886-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060109000993 NJ Practitioner - Physical Therapist in Private Practice 5395768022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hands on Physical Therapy Whiting LLC 4 clinicians
Institute of Manual Therapy LLC 4 clinicians

Practice addresses (Care Compare)

60 Lacey Rd
Whiting, NJ 08759-2921

780 Hwy 37 W
Toms River, NJ 08755-5059

780 Rte 37
Suite 210
Toms River, NJ 08755-5059
Phone (732) 736-7007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA007307NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Institute of Manual Therapy LLC CurrentSince Feb 1, 2000 Accepting new patients
Hands on Physical Therapy Whiting LLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Coastal Urology Associates PA PastSince Jun 10, 2019 Accepting new patients
Ocean County Family Care, P.a. Past Accepting new patients

Locations

224 Jack Martin Blvd
Ste E4
Brick, NJ 08724
Phone (484) 686-5343

224 Jack Martin Blvd
Unit E4
Brick, NJ 08724
Phone (732) 508-2888

780 Route 37 W
Ste 210
Toms River, NJ 08755
Phone (732) 736-7007

60 Lacey Rd
Whiting, NJ 08759
Phone (732) 408-4492

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1043382989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 RTE 37 W",
            "address_2": "STE 210",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555059",
            "telephone_number": "732-886-9900",
            "fax_number": "732-886-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015220",
            "telephone_number": "732-886-9900",
            "fax_number": "732-886-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLINEC",
        "first_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "PT, CERT. MDT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA007307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.