Individual provider Active NPI

Jeremy David Martinsen, DPT

  • Physical Therapist
  • Mount Laurel, NJ
National Provider Identifier
1003121278
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01365700 Issued in NJ
Practice address
3115 Route 38
Suite 300
Mount Laurel, NJ 08054-9725
Phone
(856) 273-8080
Fax
(856) 273-0633
NPI assigned
Aug 12, 2010
Last updated
Aug 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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 40QA01365700 NJ Primary

Addresses

Primary practice location

3115 Route 38
Suite 300
Mount Laurel, NJ 08054-9725

Mailing address

3115 Route 38
Suite 300
Mount Laurel, NJ 08054-9725
Phone (856) 273-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130426000180 NJ Practitioner - Physical Therapist in Private Practice 7416193057 Reassigns benefits to 1 organization
I20231222001433 PA Practitioner - Physical Therapist in Private Practice 7416193057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01365700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Rehab Somerset PA CurrentSince Aug 1, 2017 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Aug 1, 2017 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist Current Accepting new patients
Trinity Rehab Somerset PA CurrentSince Nov 9, 2023 Accepting new patients
Rehabclinics SPT, Inc. Past Accepting new patients

Locations

150 Chambers Bridge Rd
Ste 200
Brick, NJ 08723
Phone 7322195700 ext. 110

465 Cranbury Rd
Ste 103
East Brunswick, NJ 08816
Phone (732) 254-7085

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

554 State Route 35
Red Bank, NJ 07701

175 Route 37 W
Toms River, NJ 08755
Phone (732) 281-8630

175 Route 37 W
#R
Toms River, NJ 08755

2826 S Eagle Rd
#121
Newtown, PA 18940

Organizations & group practices 5

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": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1003121278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 ROUTE 38",
            "address_2": "SUITE 300",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549725",
            "telephone_number": "856-273-8080",
            "fax_number": "856-273-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 ROUTE 38",
            "address_2": "SUITE 300",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549725",
            "telephone_number": "856-273-8080",
            "fax_number": "856-273-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINSEN",
        "first_name": "JEREMY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01365700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.