Individual provider Active NPI

Kenneth William Hinz, P.T.

  • Physical Therapist
  • Montville, NJ
National Provider Identifier
1891907291
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00695400 Issued in NJ
Practice address
121 Ridge Dr
Montville, NJ 07045-9488
Phone
(973) 809-1035
NPI assigned
May 6, 2007
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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 40QA00695400 NJ Primary

Addresses

Primary practice location

121 Ridge Dr
Montville, NJ 07045-9488

Mailing address

121 Ridge Dr
Montville, NJ 07045-9488
Phone (973) 809-1035

Other practice location 1

1 Denise Dr
Kinnelon, NJ 07405-2939
Phone (973) 838-6122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101217000233 NJ Practitioner - Physical Therapist in Private Practice 2062600083 Reassigns benefits to 2 organizations
I20230307002362 FL Practitioner - Physical Therapist in Private Practice 2062600083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ippolito Rehabilitation LLCGroup PAC ID 5092061457, 16 clinicians

Practice addresses (Care Compare)

3569 Pilot Cir
Naples, FL 34120-0714
Phone (239) 390-3978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
Ippolito Rehabilitation, LLC Physical Therapist CurrentSince Jan 3, 2023 Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1891907291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 RIDGE DR",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459488",
            "telephone_number": "973-809-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 RIDGE DR",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459488",
            "telephone_number": "973-809-1035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Denise Dr",
            "address_purpose": "LOCATION",
            "city": "Kinnelon",
            "state": "NJ",
            "postal_code": "074052939",
            "country_code": "US",
            "telephone_number": "973-838-6122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINZ",
        "first_name": "KENNETH",
        "middle_name": "WILLIAM",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-06",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00695400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.