Provider Demographics
NPI:1649157694
Name:PELVIC POWER WELLNESS
Entity type:Organization
Organization Name:PELVIC POWER WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLI
Authorized Official - Middle Name:
Authorized Official - Last Name:BOTTINO
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:908-420-6449
Mailing Address - Street 1:18 PARK VIEW AVE APT 543
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-7392
Mailing Address - Country:US
Mailing Address - Phone:908-420-6449
Mailing Address - Fax:
Practice Address - Street 1:720 MONROE ST STE E405
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-6355
Practice Address - Country:US
Practice Address - Phone:201-870-4785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy