Organization Active NPI

Pelvic Reset Physical Therapy & Wellness Inc

  • Physical Therapist
  • North Brunswick, NJ
National Provider Identifier
1114631421
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PELVIC RESET PHYSICAL THERAPY & WELLNESS INC
Practice address
232 Willowbrook Dr
North Brunswick, NJ 08902-1255
Phone
(732) 322-0023
NPI assigned
Jan 11, 2023
Last updated
Feb 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Dr. Tulsi S Shah, PHYSICAL THERAPISTNPI 1326587189
Title
Owner (Managing Member)
Phone
(732) 322-0023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

232 Willowbrook Dr
North Brunswick, NJ 08902-1255

Mailing address

232 Willowbrook Dr
North Brunswick, NJ 08902-1255
Phone (732) 322-0023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230924000002 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0840644985 Receives reassigned benefits from 1 practitioner
Practice locations: North Brunswick, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1114631421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 WILLOWBROOK DR",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021255",
            "telephone_number": "732-322-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 WILLOWBROOK DR",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021255",
            "telephone_number": "732-322-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVIC RESET PHYSICAL THERAPY & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "TULSI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER (MANAGING MEMBER)",
        "authorized_official_telephone_number": "732-322-0023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.