Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. EVAN BRACCONERI DPT
NPI 1912253683
Physical Therapist in Park Ridge, NJ

Active since July 31, 2012
52 PARK AVE STE A4, PARK RIDGE, NJ 07656(201) 391-8932 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 3, 2022, Feb 6, 2017 (2 updates tracked since 2017).

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

NPI1912253683
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. EVAN BRACCONERICredential: DPT
Location Address52 PARK AVE STE A4Park Ridge, NJ 07656-1277
Mailing Address52 Park Ave Ste A4Park Ridge, NJ 07656-1277 · (201) 391-8932
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 31, 2012
Last NPPES UpdateOctober 22, 20262 updates tracked since enumeration
NPPES CertifiedOctober 22, 2026
✔ NPI 1912253683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 035156-1
Definition
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:
  • 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.
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.
52 PARK AVE STE A4, Park Ridge, NJ 07656

Secondary Practice Location 1

Location 1850 7th Ave, #905New York, NY 10019-5230 · Phone (212) 757-7110

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.

PECOS PAC ID1658520937
PECOS Enrollment IDI20220719003897

Medicare Billing Reassignments

2

Medicare 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.

Physical Therapy
52 PARK AVE STE A4
Park Ridge, NJ 07656
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
Physical Therapist
704 E MAIN ST STE H
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.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
647 services37 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
641 services39 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
605 services36 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
142 services12 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
67 services11 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
40 services36 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
52 PARK AVE STE A4
PARK RIDGE, NJ 07656

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.