Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Evan Bracconeri, DPT

Individual provider Physical Therapist · NPI 1912253683

Dr. Evan Bracconeri, DPT is a Physical Therapist in Private Practice in New York, New York. Qualified in 2012, 14 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

850 7th Ave #905
New York, NY 10019-5230
Phone: (212) 757-7110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 52 Park Ave Ste A4, Park Ridge, NJ 07656-1277 — (845) 548-1641

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 035156-1 (NY)

Record details

NPI number1912253683
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 31, 2012
Last updated in NPPESOctober 3, 2022
Certification dateJune 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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