Active NPI 1093732075 Individual Practitioner Female Practitioner

Marie J. Pablo , PT

Physical Therapist • Berkeley Heights, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Marie J. Pablo, PT is a certified Physical Therapist practicing in Berkeley Heights, NJ. With approximately 30 years of clinical experience since completing medical education in 1996, Marie J. Pablo delivers high-quality medical care to the local community at 1 DIAMOND HILL RD.

Marie J. Pablo is affiliated with Summit Medical Group Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each, evaluation for physical therapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Diamond Hill Rd

Berkeley Heights, NJ 079222104

Telephone 9082778936

Fax 9086737336

Associated Practice Facility / Clinic

🏢 Summit Medical Group Pa Facility NPI 1942254347

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Berkeley Heights, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +5.3 yrs vs City Avg

City Avg: 24.7 Yrs

State Avg: 15.0 Yrs

Regional Practice Density

36 Specialists

Practicing in Berkeley Heights, NJ (9814 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pablo (30 Years) 30 Yrs

Berkeley Heights Specialty Average (24.7 Years) 24.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,313	84	$72.00	$27.69
97140 Therapy procedure using manual technique, each 15 minutes	567	68	$65.00	$22.42
97162 Evaluation for physical therapy, typically 30 minutes	33	31	$163.00	$109.74
97163 Evaluation for physical therapy, typically 45 minutes	29	27	$163.00	$109.52
97164 Re-evaluation for physical therapy, typically 20 minutes	22	19	$111.00	$76.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	914	65	$72.00	$28.17
97140 Therapy procedure using manual technique, each 15 minutes	400	54	$65.00	$22.02
97164 Re-evaluation for physical therapy, typically 20 minutes	29	21	$111.00	$76.24
97162 Evaluation for physical therapy, typically 30 minutes	23	22	$163.00	$107.80
97163 Evaluation for physical therapy, typically 45 minutes	18	17	$163.00	$111.81
95851 Range of motion testing of arm, leg or each spine section	13	13	$91.00	$24.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	905	69	$72.00	$29.77
97140 Therapy procedure using manual technique, each 15 minutes	472	54	$65.00	$23.31
97162 Evaluation for physical therapy, typically 30 minutes	39	34	$163.00	$113.27
97164 Re-evaluation for physical therapy, typically 20 minutes	22	18	$111.00	$78.58
97163 Evaluation for physical therapy, typically 45 minutes	15	14	$163.00	$112.78
95851 Range of motion testing of arm, leg or each spine section	14	12	$91.00	$24.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	826	70	$72.00	$30.64
97140 Therapy procedure using manual technique, each 15 minutes	428	57	$65.00	$23.94
97162 Evaluation for physical therapy, typically 30 minutes	33	32	$163.00	$114.54
97164 Re-evaluation for physical therapy, typically 20 minutes	24	21	$111.00	$75.80
95851 Range of motion testing of arm, leg or each spine section	20	17	$91.00	$26.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	641	60	$72.00	$31.67
97140 Therapy procedure using manual technique, each 15 minutes	394	46	$65.00	$24.31
97162 Evaluation for physical therapy, typically 30 minutes	39	36	$163.00	$97.21
95851 Range of motion testing of arm, leg or each spine section	17	13	$91.00	$25.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	798	74	$72.00	$30.57
97140 Therapy procedure using manual technique, each 15 minutes	426	61	$65.00	$23.43
97162 Evaluation for physical therapy, typically 30 minutes	37	35	$163.00	$94.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	974	109	$72.00	$31.06
97140 Therapy procedure using manual technique, each 15 minutes	620	94	$65.00	$23.49
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	61	13	$50.44	$11.78
97162 Evaluation for physical therapy, typically 30 minutes	58	57	$163.00	$93.27
97161 Evaluation of physical therapy, typically 20 minutes	11	11	$163.00	$93.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	781	127	$72.00	$32.03
97140 Therapy procedure using manual technique, each 15 minutes	459	93	$65.00	$24.73
97530 Therapy procedure using functional activities	88	22	$83.00	$38.99
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	67	20	$75.00	$34.06
97162 Evaluation for physical therapy, typically 30 minutes	59	56	$163.00	$89.25
95831 Manual muscle testing of arm, leg or trunk	22	22	$87.00	$35.50
95851 Range of motion testing of arm, leg or each spine section	19	17	$91.00	$20.42
97161 Evaluation of physical therapy, typically 20 minutes	17	16	$163.00	$89.21

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License NJ QA00950600

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Hospital & Practice Group Affiliations

Summit Medical Group Pa

1 Diamond Hill Rd, Berkeley Heights, NJ 079222104

Summit Medical Group Pa

1 Diamond Hill Rd, Berkeley Heights, NJ 079222104

Phone: 9082734300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners

Dr. Silpa Gadiraju , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003105750

Doctor of Medicine (M.D.)

Debra Ryan , PT

Physical Therapist

NPI 1013989045

Physical Therapist

Laura Smith , LCSW

Social Worker - Clinical

NPI 1134631880

Licensed Clinical Social Worker

Craig Feibusch

Internal Medicine

NPI 1215356068

Dr. Jay Stack , MD

Internal Medicine - Nephrology

NPI 1245325026

Doctor of Medicine (M.D.)

Alicia Fanelli , RD

Dietitian, Registered

NPI 1245515170

Registered Dietitian

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location May 21, 2019

Registered at 1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 079222104 (Tel: 9082778936)

📍

Updated Business Mailing Address May 21, 2019

Registered at 1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 079222104 (Tel: 9082778936)

👤

Provider Name / Credentials Updated May 21, 2019

Recorded as MARIE J. PABLO, PT

✅

NPI Profile Active May 20, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 20, 2016

Registered at 33 OVERLOOK RD, SUITE 203, SUMMIT, NJ 079013570 (Tel: 9086080706)

📍

Updated Business Mailing Address May 20, 2016

Registered at 588 GREAT BEDS CT, PERTH AMBOY, NJ 088612984

👤

Provider Name / Credentials Updated May 20, 2016

Recorded as MARIE J. PABLO, P.T.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2016

Physical Therapist (License #QA00950600 in NJ)

🟢

Initial NPI Registration & Enumeration July 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Marie J. Pablo. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1093732075

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 16, 2006

Last Update: May 21, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Diamond Hill Rd

Berkeley Heights, NJ 079222104

Phone: 9082778936

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.