Dov Iwaniski, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01382300 Issued in NJ

Practice address

12 Taft Ave
Lakewood, NJ 08701-5664

Phone

(732) 367-7391

NPI assigned

Jan 3, 2011

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 NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Kodiak Healthcare Inc

  dba TU Rehab

  • Physical Therapist
  • Holmdel, NJ
  • NPI 1215572185
  Medicare reassignment NPD Authorized official
• Kodiak Physical Therapy LLC

  dba Kodiak Physical Therapy

  • Physical Therapist
  • Holmdel, NJ
  • NPI 1912725904
  Medicare reassignment NPD Authorized official
• M & D Therapy Services LLC

  • Physical Therapist
  • Holmdel, NJ
  • NPI 1417201328
  Medicare reassignment NPD Authorized official
• Farag Physical Therapy LLC

  dba First Choice Physical Therapy

  • Physical Therapist
  • East Brunswick, NJ
  • NPI 1245091347
  NPD (past)
• First Choice Physical Therapy

  • Physical Therapy Clinic/Center
  • East Brunswick, NJ
  • NPI 1891991618

  Physical Therapist

  NPD (past)
• Shore Rehab & Wellness, LLC

  • Chiropractor
  • Hazlet, NJ
  • NPI 1306242706

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1164726394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 TAFT AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015664",
            "telephone_number": "808-563-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 TAFT AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015664",
            "telephone_number": "732-367-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWANISKI",
        "first_name": "DOV",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-03",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01382300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ithrive Rehab Group
• Tzipporah Itzkowitz Kressner, M.S.
• Joshua Solomon Itzkowitz, DPT
• Rosalyn Itzkowitz, OTR
• Ivory Therapy Group Inc
• Lauren Izenberg
• J & a Decking LLC
• Devora Jacabson Grohman
• Jack Ebani MD Imrt LLC
• Stephanie Jacob

• Physical Therapist in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.