Organization Active NPI

Prana Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Edison, NJ
National Provider Identifier
1902514797
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PRANA PHYSICAL THERAPY & WELLNESS
Practice address
6 Stacey St
Edison, NJ 08820-1833
Phone
(650) 773-6648
NPI assigned
Nov 9, 2022
Last updated
Nov 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Mrs. Aparna Vinay KamulkarNPI 1396494282
Title
President
Phone
(650) 773-6648

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

6 Stacey St
Edison, NJ 08820-1833

Mailing address

6 Stacey St
Edison, NJ 08820-1833
Phone (650) 773-6648

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.pranapelvicpt.com Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240830000195 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9537608807 Receives reassigned benefits from 1 practitioner
Practice locations: Edison, NJ; South Plainfield, NJ

National Provider Directory

National Provider Directory

Locations

1110 Hamilton Blvd
Ste 7
South Plainfield, NJ 07080
Phone (650) 773-6648

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": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1902514797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 STACEY ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201833",
            "telephone_number": "650-773-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 STACEY ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201833",
            "telephone_number": "650-773-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRANA PHYSICAL THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "KAMULKAR",
        "authorized_official_first_name": "APARNA",
        "authorized_official_middle_name": "VINAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-773-6648",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.pranapelvicpt.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Website",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6 Stacey St",
            "city": "Edison",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088201833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.