Individual provider Active NPI

Christine Anne Samson, P.T.

  • Physical Therapist
  • Freehold, NJ
National Provider Identifier
1730126236
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01130100 Issued in NJ
Practice address
91 Wood Duck CT
Freehold, NJ 07728-9522
Phone
(732) 677-2839
Fax
(732) 677-2839
NPI assigned
Jun 1, 2006
Last updated
May 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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 40QA01130100 NJ Primary

Addresses

Primary practice location

91 Wood Duck CT
Freehold, NJ 07728-9522

Mailing address

50 Red Fox Rd
Freehold, NJ 07728-8165
Phone (917) 470-5561

Other names 1

  • Christine Anne Geronimo Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061020000042 NJ Practitioner - Physical Therapist in Private Practice 0840251534 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobility and Motion LLCGroup PAC ID 7911311949, 10 clinicians

Practice addresses (Care Compare)

Freehold, NJ 07728
Phone (908) 907-7032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01130100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince Oct 3, 2021 Accepting new patients
Mobility & Motion, LLC Physical Therapist CurrentSince Jul 22, 2022 Accepting new patients
Link Home Services of NJ LLC CurrentSince Apr 15, 2025 Accepting new patients
Garden State Spine and Pain Institute LLC Physical Therapist PastSince Jan 2, 2023 Accepting new patients
Professional Orthopaedic Assoc PA Past Accepting new patients
Lyudmila Cavalier Physician PC Past Accepting new patients

Locations

180 Sylvan Ave
Ste 401
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

516 Sylvan Ave
Englewood Cliffs, NJ 07632

958 Adelphia Rd
Freehold, NJ 07728
Phone (732) 308-1512

411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833

400 Route 70
Lakewood, NJ 08701
Phone (866) 959-2846

Organizations & group practices 7

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1730126236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 RED FOX RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288165",
            "telephone_number": "917-470-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 WOOD DUCK CT",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077289522",
            "telephone_number": "732-677-2839",
            "fax_number": "732-677-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "CHRISTINE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01130100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "GERONIMO",
            "middle_name": "ANNE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.