Provider Demographics
NPI:1114631421
Name:PELVIC RESET PHYSICAL THERAPY & WELLNESS INC
Entity Type:Organization
Organization Name:PELVIC RESET PHYSICAL THERAPY & WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER (MANAGING MEMBER)
Authorized Official - Prefix:DR
Authorized Official - First Name:TULSI
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:732-322-0023
Mailing Address - Street 1:232 WILLOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1255
Mailing Address - Country:US
Mailing Address - Phone:732-322-0023
Mailing Address - Fax:
Practice Address - Street 1:232 WILLOWBROOK DR
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1255
Practice Address - Country:US
Practice Address - Phone:732-322-0023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-11
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty