MARY GRACE FONDEVILLA SEMBRANO (PT) – Physical Therapist, NPI 1851327258
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ
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Provider Addresses for MARY GRACE FONDEVILLA SEMBRANO (PT)
16, Tulip Court, Ramtown Manor, Ramtown, Howell Township, Monmouth County, New Jersey, 07731, United States
HOWELL, NJ 07731
Phone: (843) 276-6709
Fax: (732) 202-8773
Type: Mailing
527, River Avenue, Lakewood Township, Ocean County, New Jersey, 08701, United States
LAKEWOOD, NJ 08701
Phone: (732) 905-0700
Fax: (732) 364-4566
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-07-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250721003269 | I | Physical Therapist In Private Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07731)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Speech Language Pathologist | TX | |
| Occupational Therapist In Private Practice | KS | |
| Physical Therapist In Private Practice | AZ | |
| Qualified Speech Language Pathologist | MO | |
| Qualified Speech Language Pathologist | WI | |
| Physical Therapist In Private Practice | PA | |
| Family Practice | TN | |
| Qualified Speech Language Pathologist | TX | |
| Physical Therapist In Private Practice | AR | |
| Occupational Therapist In Private Practice | NC |
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