Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kodiak Physical Therapy LLC

Organization Physical Therapist · NPI 1912725904

Kodiak Physical Therapy LLC is a Physical Therapist in Holmdel, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

702 N Beers St Ste 3
Holmdel, NJ 07733-1510
Phone: (732) 724-3720
Fax: (732) 724-3723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1912725904
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dov Iwaniski — Owner · (732) 724-3720
Other names Kodiak Physical Therapy
NPI enumeratedSeptember 30, 2024
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024
Mailing address12 Taft Ave, Lakewood, NJ 08701-5664

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