PRISTINE REHABILITATION
NPI 1124593389
Physical Therapist in Fanwood, NJ

Active since October 03, 2018
184 BURNS WAY, FANWOOD, NJ 07023(617) 686-9000 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pristine Rehabilitation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRISTINE REHABILITATION (NPI 1124593389) is a healthcare organization registered as a physical therapist in Fanwood, New Jersey and active in the NPI registry since October 2018. The organization lists Ronald Casanova, Owner, as its authorized official.

NPPES Registry Identity

NPI1124593389
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NamePRISTINE REHABILITATION
Location Address184 BURNS WAYFanwood, NJ 07023-1604
Mailing Address184 Burns WayFanwood, NJ 07023-1604 · (617) 686-9000
Organization SubpartNo
Authorized OfficialRonald CasanovaOwner · (617) 686-9000
Enumeration DateOctober 3, 2018
✔ NPI 1124593389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
184 BURNS WAY, Fanwood, NJ 07023

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pristine Rehabilitation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pristine Rehabilitation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1962532291
872 E MAIN ST
Bridgewater, NJ 08807
(877) 407-3422
✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pristine Rehabilitation's NPI number?

The NPI number for Pristine Rehabilitation is 1124593389. It was assigned to this organization in the NPPES registry on October 3, 2018.

Where is Pristine Rehabilitation located?

Pristine Rehabilitation is located at 184 Burns Way, Fanwood, NJ 07023. The listed phone number is (617) 686-9000.

What is Pristine Rehabilitation's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Pristine Rehabilitation enrolled in Medicare?

Yes. Pristine Rehabilitation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pristine Rehabilitation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Pristine Rehabilitation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pristine Rehabilitation accept?

Health plans from Oscar Health list Pristine Rehabilitation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pristine Rehabilitation was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.