Individual provider Active NPI

Christine Sesbreno Martirez, DPT

  • Physical Therapist
  • Aberdeen, NJ
National Provider Identifier
1952029159
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02110300 Issued in NJ
Practice address
1077 Highway 34 Ste M
Aberdeen, NJ 07747-2151
Phone
(732) 970-7882
Fax
(732) 970-7883
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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 40QA02110300 NJ Primary

Addresses

Primary practice location

1077 Highway 34 Ste M
Aberdeen, NJ 07747-2151

Mailing address

1077 Highway 34 Ste M
Aberdeen, NJ 07747-2151
Phone (732) 970-7882

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220909003123 NJ Practitioner - Physical Therapist in Private Practice 3779968813 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mana Physical TherapyGroup PAC ID 1456648260, 9 clinicians

Practice addresses (Care Compare)

647 Route 18
Suite I
East Brunswick, NJ 08816-3747
Phone (732) 390-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02110300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proform Physical Therapy LLC Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients
Mana Physical Therapy Physical Therapist CurrentSince Jan 20, 2025 Accepting new patients
Pelvic Health Inc Physical Therapist CurrentSince Sep 16, 2023 Accepting new patients
Proform Physical Therapy LLC Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients

Locations

647 Route 18
Ste I
East Brunswick, NJ 08816
Phone (732) 390-8100

510 State Route 18
East Brunswick, NJ 08816
Phone (732) 554-8330

1921 Route 27
Edison, NJ 08817
Phone (732) 290-4511

1801 Main St
Ste 1B
Lake Como, NJ 07719
Phone (732) 256-1758

78 Main St
Ste 3
Madison, NJ 07940
Phone (908) 443-9880

1077 State Route 34
Ste M
Matawan, NJ 07747
Phone (732) 970-7882

1270 State Route 35
Middletown, NJ 07748
Phone (732) 615-3900

2665 Highway 516
Old Bridge, NJ 08857
Phone (732) 952-8826

Organizations & group practices 4

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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1952029159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 HIGHWAY 34 STE M",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077472151",
            "telephone_number": "732-970-7882",
            "fax_number": "732-970-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 HIGHWAY 34 STE M",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077472151",
            "telephone_number": "732-970-7882",
            "fax_number": "732-970-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIREZ",
        "first_name": "CHRISTINE",
        "middle_name": "SESBRENO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02110300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.