Walter Anthony Pelenski III, OT,PT,CHT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01142800 Issued in NJ

Practice address

1200 Eagle Ave
Ocean Township, NJ 07712-1265

Phone

(732) 660-6620

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seaview Orthopaedics and Medical Associates LLPGroup PAC ID 7810983210, 97 clinicians

Varsha Pohuja LLCGroup PAC ID 8426346636, 43 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

72.19 of 100Reported as group

Quality

42.79

Promoting interoperability

95

Improvement activities

40

Cost

68.67

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Seaview Orthopaedics & Medical Associates LLP

  • Orthopaedic Surgery Physician
  • Ocean, NJ
  • NPI 1982618757

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Varsha Pohuja LLC

  dba Shivaya Rehabilitation

  • Rehabilitation Clinic/Center
  • Long Branch, NJ
  • NPI 1295281699

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Seaview Orthopaedics & Medical Associates LLP

  • Orthopaedic Surgery Physician
  • East Brunswick, NJ
  • NPI 1356215867
  NPD

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1588609945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 STOCKTON AVE",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363332",
            "telephone_number": "732-513-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EAGLE AVE",
            "city": "OCEAN TOWNSHIP",
            "state": "NJ",
            "postal_code": "077121265",
            "telephone_number": "732-660-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELENSKI",
        "first_name": "WALTER",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "OT,PT,CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00028300",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01142800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Suzanne Coyle, CPNP-PC, MSN
• Monmouth County Division of Social Services
• Rachana Prakash Nayak
• Pavlushkin Dental LLC
• Steven Emanuel Pavlushkin, DDS
• Melissa Porth
• Amanda Marie Rembisz
• Gabrielle Reznick
• Stefanie Scholz, DDS, MBS
• Ravi Gaurang Shah, DMD

• Physical Therapist in Ocean Township, NJ
• Providers in Ocean Township, 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 Nov 6, 2019; 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.