Healthcare Provider Details

I. General information

NPI: 1568381838
Provider Name (Legal Business Name): X-FACTOR SPORTS PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2026 RTE 31
GLEN GARDNER NJ
08826-6426
US

IV. Provider business mailing address

20 INVERRARY PL
ANNANDALE NJ
08801-1612
US

V. Phone/Fax

Practice location:
  • Phone: 732-647-5513
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ARAV SHAH
Title or Position: OWNER
Credential: DPT
Phone: 732-647-5513