ALTIUS PHYSICAL THERAPY LLC
NPI 1124751748
Clinic/Center - Physical Therapy in Park Ridge, NJ
About Altius Physical Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALTIUS PHYSICAL THERAPY LLC (NPI 1124751748) is a healthcare organization registered as a physical therapy in Park Ridge, New Jersey and active in the NPI registry since July 2022. The organization lists Evan Bracconeri, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Altius Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Altius Physical Therapy LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Altius Physical Therapy LLC's NPI number?
The NPI number for Altius Physical Therapy LLC is 1124751748. It was assigned to this organization in the NPPES registry on July 1, 2022.
Where is Altius Physical Therapy LLC located?
Altius Physical Therapy LLC is located at 52 Park Ave Ste A4, Park Ridge, NJ 07656. The listed phone number is (201) 391-8932.
What is Altius Physical Therapy LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Altius Physical Therapy LLC enrolled in Medicare?
Yes. Altius Physical Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Altius Physical Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Altius Physical Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Altius Physical Therapy LLC was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Altius Physical Therapy Llc · NPI 1124751748
Physical Therapy organization in Park Ridge, New Jersey. Organization record, active in the CMS NPPES registry since July 1, 2022.
## Identity
- **NPI:** 1124751748 (Entity type: Organization)
- **Enumerated:** July 1, 2022
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Evan Bracconeri, OWNER
## Practice location
- **Address:** 52 PARK AVE STE A4, Park Ridge, NJ 07656-1277
- **Phone:** (201) 391-8932
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124751748) · Data from the CMS NPPES public registry.