Provider Demographics
NPI:1790391084
Name:PURE PHYSIO, P.C.
Entity type:Organization
Organization Name:PURE PHYSIO, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DPT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARSH
Authorized Official - Middle Name:
Authorized Official - Last Name:PRAJAPATI
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:732-318-9930
Mailing Address - Street 1:3400 ROUTE 35 STE 2
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1247
Mailing Address - Country:US
Mailing Address - Phone:732-630-2675
Mailing Address - Fax:732-527-3106
Practice Address - Street 1:3400 ROUTE 35 STE 2
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1247
Practice Address - Country:US
Practice Address - Phone:732-630-2675
Practice Address - Fax:732-527-3106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-22
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty