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

Evan Deckelbaum, DPT

Individual provider Physical Therapist · NPI 1356591986

Evan Deckelbaum, DPT is a Physical Therapist in Private Practice in Clifton, New Jersey. Qualified in 2009, 17 years ago. Practices with Forward Motion Physical Therapy LLC, a 5-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
17
Licensed in
NJ, NY
In the registry since
2008
Specialties on file
2
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

1111 Clifton Ave
Clifton, NJ 07013-3633
Phone: (973) 400-3730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01592700 (NJ)
Physical Therapist Taxonomy 225100000X · Licence 031521 (NY)

Record details

NPI number1356591986
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedSeptember 18, 2008
Last updated in NPPESMarch 24, 2015
Mailing address109 Raab Ave, Bloomfield, NJ 07003-4520

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Forward Motion Physical Therapy Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Clifton