Kodiak Physical Therapy LLC
NPI 1912725904 · Physical Therapist · Holmdel, NJ
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kodiak Physical Therapy LLC is a Physical Therapist organization in Holmdel, NJ (NPI 1912725904).
Provider details
- NPI number
- 1912725904
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Dov Iwaniski, Owner(732) 724-3720
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Kodiak Physical Therapy
Registry dates
- Enumerated
- 2024-09-30
- Last updated
- 2024-09-30
- Certified
- 2024-09-30
Frequently asked questions
- What is Kodiak Physical Therapy LLC's NPI number?
- Kodiak Physical Therapy LLC's National Provider Identifier (NPI) is 1912725904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kodiak Physical Therapy LLC?
- Kodiak Physical Therapy LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kodiak Physical Therapy LLC located?
- Kodiak Physical Therapy LLC's practice location on file with NPPES is 702 N Beers St Ste 3, Holmdel, NJ 07733-1510.
- What is Kodiak Physical Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Kodiak Physical Therapy LLC is (732) 724-3720.
- Does Kodiak Physical Therapy LLC accept Medicare?
- Kodiak Physical Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kodiak Physical Therapy LLC?
- The authorized official listed on Kodiak Physical Therapy LLC's NPPES record is Dov Iwaniski, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kodiak Physical Therapy LLC's NPI active?
- Yes — Kodiak Physical Therapy LLC's NPI (1912725904) is active in the NPPES registry as of the last update on 2024-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.