Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pristine Rehabilitation

Organization Physical Therapist · NPI 1124593389

Pristine Rehabilitation provides Physical Therapist services in Fanwood, New Jersey. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

184 Burns Way
Fanwood, NJ 07023-1604
Phone: (617) 686-9000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1124593389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Casanova — Owner · (617) 686-9000
NPI enumeratedOctober 3, 2018
Last updated in NPPESOctober 3, 2018
Mailing address184 Burns Way, Fanwood, NJ 07023-1604

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