Dr. Evan Bracconeri, DPT
Physical Therapist in Park Ridge, New Jersey
1912253683- Practice location
- 52 Park Ave Ste A4, Park Ridge, NJ 07656-1277
- Phone
- 201-391-8932
- Fax
- —
- Last updated
- October 22, 2026
Evan Bracconeri is a Physical Therapist based in Park Ridge, NJ. Evan Bracconeri practices in Park Ridge, NJ and has the professional credentials of DPT. The NPI Number for Evan Bracconeri is 1912253683 and holds a License No. 035156-1 (NY). The current practice location address for Evan Bracconeri is 52 Park Ave Ste A4, Park Ridge, NJ 07656-1277 and can be reached out via phone at 201-391-8932.
Provider Profile Details
- NPI Number
- 1912253683
- Provider Name
- Evan Bracconeri
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 52 Park Ave Ste A4, Park Ridge, NJ 07656-1277
- Phone Number
- 201-391-8932
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 31, 2012
- Last Update Date
- October 22, 2026
- Certification Date
- October 22, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 52 Park Ave Ste A4
Park Ridge, NJ 07656-1277 - City
- Park Ridge
- State
- New Jersey
- Zip
- 07656-1277
- Phone Number
- 201-391-8932
Provider Business Mailing Address Details
- Address
- 52 Park Ave Ste A4
Park Ridge, NJ 07656-1277 - City
- Park Ridge
- State
- NJ
- Zip
- 07656-1277
- Phone Number
- 201-391-8932
License Information
- License Number
- 035156-1
- License State
- NY
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Evan Bracconeri, DPT?
The NPI number of Dr. Evan Bracconeri, DPT is 1912253683. It was assigned on July 31, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Evan Bracconeri, DPT?
Dr. Evan Bracconeri, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 035156-1.
Where does Dr. Evan Bracconeri, DPT practice?
The practice location is 52 Park Ave Ste A4, Park Ridge, NJ 07656-1277. The office can be reached at 201-391-8932 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912253683 directly on the NPPES registry website.