Individual provider Active NPI

Kollin Andrew Pavlik, PT, DPT

  • Physical Therapist
  • Clarksville, MD
National Provider Identifier
1316800600
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30716 Issued in MD
Practice address
12447 Clarksville Pike Ste 2C
Clarksville, MD 21029-1243
Phone
(410) 982-6251
Fax
(410) 982-6263
NPI assigned
Dec 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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 30716 MD Primary

Addresses

Primary practice location

12447 Clarksville Pike Ste 2C
Clarksville, MD 21029-1243

Mailing address

2470 Longstone LN Ste a
Marriottsville, MD 21104-1516
Phone (410) 982-6251

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260126000018 MD Practitioner - Physical Therapist in Private Practice 0840777470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HCPT LLCGroup PAC ID 2264872928, 7 clinicians

Practice addresses (Care Compare)

12447 Clarksville Pike
Suite 2C
Clarksville, MD 21029-1568
Phone (410) 982-6251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30716MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
HCPT LLC Physical Therapist CurrentSince Dec 3, 2025 Accepting new patients

Locations

1438 Liberty Rd
Ste 10A
Eldersburg, MD 21784
Phone (410) 982-6251

2470 Longstone Ln
Ste A
Marriottsville, MD 21104
Phone (410) 982-6251

Organizations & group practices 1

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": "1764806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1316800600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 LONGSTONE LN STE A",
            "city": "MARRIOTTSVILLE",
            "state": "MD",
            "postal_code": "211041516",
            "telephone_number": "410-982-6251",
            "fax_number": "410-982-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12447 CLARKSVILLE PIKE STE 2C",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291243",
            "telephone_number": "410-982-6251",
            "fax_number": "410-982-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLIK",
        "first_name": "KOLLIN",
        "middle_name": "ANDREW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.