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

Mary Grace Fondevilla Sembrano, PT

Individual provider Orthopedic Physical Therapist · NPI 1851327258

Mary Grace Fondevilla Sembrano, PT is a Physical Therapist in Private Practice in Lakewood, New Jersey. Qualified in 2001, 25 years ago. Accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
25
Licensed in
NJ
In the registry since
2006
Specialties on file
2
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

527 River Ave
Lakewood, NJ 08701
Phone: (732) 905-0700
Fax: (732) 364-4566
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01021100 (NJ)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 40QA01021100 (NJ)

Record details

NPI number1851327258
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 25, 2006
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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