Individual provider Active NPI

Christian P Cecere, P.T.

  • Physical Therapist
  • Red Bank, NJ
National Provider Identifier
1114228152
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00362600 Issued in NJ
Practice address
80 Oak Hill Rd
Red Bank, NJ 07701-5727
Phone
(732) 741-2313
Fax
(732) 936-8445
NPI assigned
Nov 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 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 40QA00362600 NJ Primary

Addresses

Primary practice location

80 Oak Hill Rd
Red Bank, NJ 07701-5727

Mailing address

80 Oak Hill Rd
Red Bank, NJ 07701-5727
Phone (732) 741-2313

Other identifiers 1

IdentifierTypeStateIssuer
40QA00362600OtherNJLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220226000195 DE Practitioner - Physical Therapist in Private Practice 2466497524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

108 Broadkill Rd
Milton, DE 19968-1008
Phone (302) 608-9008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00362600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy and Sports Performance Limited Partnership Physical Therapist CurrentSince Feb 28, 2022 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Aug 2, 2021 Accepting new patients
Premier Physical Therapy and Sports Performance Limited Partnership CurrentSince Feb 28, 2022 Accepting new patients

Locations

1050 Industrial Dr
Ste 210
Middletown, DE 19709

108 Broadkill Rd
Milton, DE 19968
Phone (302) 608-9008

100 S Main St
Ste 300
Smyrna, DE 19977
Phone (302) 389-7855

1255 Route 70
Ste 32N
Lakewood, NJ 08701
Phone (732) 901-4747

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1114228152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 OAK HILL RD",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015727",
            "telephone_number": "732-741-2313",
            "fax_number": "732-936-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 OAK HILL RD",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015727",
            "telephone_number": "732-741-2313",
            "fax_number": "732-936-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECERE",
        "first_name": "CHRISTIAN",
        "middle_name": "P",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00362600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "40QA00362600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.