Individual provider Active NPI

Kristen Anne Faigle

  • Physical Therapist
  • East Hanover, NJ
National Provider Identifier
1396978839
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01328400 Issued in NJ
Practice address
11 Eagle Rock Ave
East Hanover, NJ 07936-3167
Phone
(973) 887-9000
Fax
(973) 887-3654
NPI assigned
Sep 1, 2009
Last updated
Sep 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01328400 NJ Primary

Addresses

Primary practice location

11 Eagle Rock Ave
East Hanover, NJ 07936-3167

Mailing address

11 Eagle Rock Ave
East Hanover, NJ 07936-3167
Phone (973) 887-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091022000413 NJ Practitioner - Physical Therapist in Private Practice 6709923832 Reassigns benefits to 5 organizations
I20120322000403 NY Practitioner - Physical Therapist in Private Practice 6709923832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundations Physical Therapy, LLCGroup PAC ID 7214151042, 10 clinicians

Practice addresses (Care Compare)

285 Pascack Rd
Township of Washington, NJ 07676-4841
Phone (201) 358-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01328400NJMDPhysical Therapist
033354NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare Physical Therapy of Ny, P.C. Physical Therapist CurrentSince Feb 1, 2012 Accepting new patients
Pro Staff Physical Therapy PC Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Foundations Physical Therapy, LLC CurrentSince Aug 26, 2024 Accepting new patients
Twin Boro Physical Therapy Associates, PA CurrentSince May 1, 2023 Accepting new patients
Twin Boro Physical Therapy Associates PA Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Sportscare of America, PC Physical Therapist Current Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Mar 7, 2022 Accepting new patients
Sportscare Institute, Inc. Physical Therapist Past Accepting new patients
St Josephs University Medical Center Inc. PastSince Aug 1, 2023 Accepting new patients
Pro Staff Institute, LLC PastSince Aug 1, 2023 Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

317 Brick Blvd
Ste 120
Brick, NJ 08723
Phone (732) 255-9500

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

935 Allwood Rd
Fl First
Clifton, NJ 07012
Phone (973) 928-3590

20 Commerce Dr
Ste 210
Cranford, NJ 07016

11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
Phone 9738879000 ext. 317

518 Stuyvesant Ave
Lyndhurst, NJ 07071
Phone (201) 605-9927

2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727

11 E Oak St
Ste 2
Oakland, NJ 07436
Phone (201) 644-7456

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

609 Morris Ave
Ste 2
Springfield, NJ 07081
Phone (973) 671-3200

530 Lakehurst Rd
Ste 202204
Toms River, NJ 08755
Phone (732) 349-1201

285 Pascack Rd
Twp Washinton, NJ 07676
Phone (201) 358-9200

171 Franklin Tpke
Fl 1
Waldwick, NJ 07463
Phone (201) 689-0117

2 Perlman Dr
Spring Valley, NY 10977
Phone (845) 371-2032

311 North St
Ste 304
White Plains, NY 10605
Phone (914) 448-4777

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1396978839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIGLE",
        "first_name": "KRISTEN",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01328400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hanover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.