DR. EVAN BRACCONERI DPT
NPI 1912253683
Physical Therapist in Park Ridge, NJ
About Dr. Evan Bracconeri Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EVAN BRACCONERI DPT (NPI 1912253683) is an individual physical therapist in Park Ridge, New Jersey, licensed in New York (035156-1) and active in the NPI registry since July 2012. He maintains a secondary practice location in New York and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- 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.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Evan Bracconeri Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Evan Bracconeri reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Park Ridge, NJ 07656
- Reassigned Medicare billing, New Jersey enrollment
- 2 clinicians in this Medicare group
Moorestown, NJ 08057
- Reassigned Medicare billing, New Jersey and New York enrollments
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Evan Bracconeri's NPI number?
The NPI number for Evan Bracconeri is 1912253683. It was assigned to this individual provider in the NPPES registry on July 31, 2012.
Where is Evan Bracconeri located?
Evan Bracconeri practices at 52 Park Ave Ste A4, Park Ridge, NJ 07656. The listed phone number is (201) 391-8932.
What is Evan Bracconeri's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Evan Bracconeri enrolled in Medicare?
Yes. Evan Bracconeri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Evan Bracconeri's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evan Bracconeri reassigns Medicare benefits to 2 organizations: Altius Physical Therapy LLC (Park Ridge, NJ) and Fortius Physical Therapy, PLLC (Moorestown, NJ). Each 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 Evan Bracconeri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Evan Bracconeri 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 22 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.