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

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1386300697

Kevin Pineda, DPT is a Physical Therapist in Private Practice in Fair Lawn, New Jersey. Qualified in 2021, 5 years ago. Practices with Natty Bandasak Physio Performance, a 3-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Licensed in
NJ
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

24-17 Fair Lawn Ave
Fair Lawn, NJ 07410-3429
Phone: (201) 794-4417
Fax: (201) 794-4419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 40QA02057300 (NJ)

Record details

NPI number1386300697
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 10, 2021
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021
Mailing addressPo Box 1014, Clark, NJ 07066-1014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Natty Bandasak Physio Performance — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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