Active NPI
Kenneth Pavlinec, PT, CERT. MDT
- Physical Therapist
- Lakewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- QA007307
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLCInstitute of Manual Therapy LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| QA007307 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute of Manual Therapy LLC | Current | Accepting new patients | |
| Hands on Physical Therapy Whiting LLC | Physical Therapist | Current | Accepting new patients |
| Coastal Urology Associates PA | Past | 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.
-
- Physical Medicine & Rehabilitation Physician
- Toms River, NJ
- NPI 1235427113
NJ
-
- Physical Medicine & Rehabilitation Physician
- Whiting, NJ
- NPI 1124865753
NJ, Physical Therapist
-
- Urology Physician
- Brick, NJ
- NPI 1215910286
-
- Internal Medicine Physician
- Jackson, NJ
- NPI 1821019787
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.