Individual provider Active NPI

Annalissa Cabrera Factor, PT

  • Physical Therapist
  • Northfield, NJ
National Provider Identifier
1982710026
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01049200 Issued in NJ
Practice address
2300 New Rd Ste 100B
Northfield, NJ 08225-1457
Phone
(609) 377-7845
Fax
(609) 855-5030
NPI assigned
Aug 22, 2006
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11095 MA
Physical Therapist 225100000X 016879-1 NY
Physical Therapist 225100000X 40QA01049200 NJ Primary

Addresses

Primary practice location

2300 New Rd Ste 100B
Northfield, NJ 08225-1457

Mailing address

902 Chelsea Rd
Absecon, NJ 08201-1653
Phone (917) 378-3541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230810000271 NJ Practitioner - Physical Therapist in Private Practice 9133125305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2300 New Rd
Northfield, NJ 08225-1466
Phone (917) 378-3541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016879NYMDClinical Psychologist
016879-1NYMDPhysical Therapist
11095MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Approach Physiotherapy Intervention, LLC Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Twin Boro Physical Therapy Associates, PA CurrentSince Jul 12, 2023 Accepting new patients
Twin Boro Physical Therapy Associates PA Physical Therapist CurrentSince Jul 12, 2023 Accepting new patients

Locations

3121 Fire Rd
Ste D
Egg Hbr Twp, NJ 08234
Phone (609) 377-8881

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

2300 New Rd
Northfield, NJ 08225
Phone (609) 204-4849

2300 New Rd
Ste 100B
Northfield, NJ 08225
Phone (609) 377-7845

1430 Hooper Ave
Ste 201
Toms River, NJ 08753
Phone (732) 255-7888

Organizations & group practices 3

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1982710026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 CHELSEA RD",
            "city": "ABSECON",
            "state": "NJ",
            "postal_code": "082011653",
            "telephone_number": "917-378-3541",
            "fax_number": "609-855-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 NEW RD STE 100B",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251457",
            "telephone_number": "609-377-7845",
            "fax_number": "609-855-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACTOR",
        "first_name": "ANNALISSA",
        "middle_name": "CABRERA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11095",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016879-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01049200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.