Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeanine-Marie Gervasio, PT

Individual provider Pediatric Physical Therapist · NPI 1134884950

Jeanine-Marie Gervasio, PT is a Pediatric Physical Therapist in West Orange, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

623 Eagle Rock Ave
West Orange, NJ 07052-2948
Phone: (201) 455-3144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence PT40QA00692900 (NJ)

Record details

NPI number1134884950
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedNovember 5, 2021
Last updated in NPPESNovember 5, 2021
Certification dateNovember 5, 2021

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