Individual provider Active NPI

Kassandra Tessitore, PT

  • Physical Therapist
  • Voorhees, NJ
National Provider Identifier
1114465317
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02311100 Issued in NJ
Practice address
93 Cooper Rd Ste 200
Voorhees, NJ 08043-4910
Phone
(856) 767-3435
Fax
(856) 767-3803
NPI assigned
Feb 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT32281 FL
Physical Therapist 225100000X 40QA02311100 NJ Primary

Addresses

Primary practice location

93 Cooper Rd Ste 200
Voorhees, NJ 08043-4910

Mailing address

72 Sagamore TRL
Medford Lakes, NJ 08055-1606
Phone (609) 234-7009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240607000717 FL Practitioner - Physical Therapist in Private Practice 5294277034 Reassigns benefits to 1 organization
I20250116000341 NJ Practitioner - Physical Therapist in Private Practice 5294277034 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT32281FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics Pta, Inc. CurrentSince Apr 28, 2024 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Jan 13, 2025 Accepting new patients
Rehabclinics Pta, Inc. Current Accepting new patients
Rehabclinics SPT Inc CurrentSince Jan 13, 2025 Accepting new patients
Rehabclinics Pta, Inc. CurrentSince Apr 28, 2024 Accepting new patients
Rehabclinics SPT Inc. Current Accepting new patients

Locations

1817 E Commercial Blvd
Ft Lauderdale, FL 33308
Phone (954) 836-8980

4756 N Federal Hwy
Lighthouse Point, FL 33064
Phone (954) 946-8877

2144 US Highway 130
Ste 12
Bordentown, NJ 08505
Phone (609) 324-9320

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

93 Cooper Rd
Ste 200
Voorhees, NJ 08043
Phone (856) 767-3435

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1114465317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 SAGAMORE TRL",
            "city": "MEDFORD LAKES",
            "state": "NJ",
            "postal_code": "080551606",
            "telephone_number": "609-234-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 COOPER RD STE 200",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434910",
            "telephone_number": "856-767-3435",
            "fax_number": "856-767-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSITORE",
        "first_name": "KASSANDRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32281",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02311100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.