Pristine Rehabilitation
NPI 1124593389ActiveOrganization· Physical Therapist· Fanwood, NJ
Physical Therapist in Fanwood, New Jersey, registered in NPPES in October 2018. The authorized official on file is Ronald Casanova, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124593389 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 3, 2018 |
| Last updated in NPPES | Oct 3, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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