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

Raphael Sevilla

Individual provider Physical Therapist · NPI 1164027942

Raphael Sevilla is a Physical Therapist in Private Practice in Clifton, New Jersey. Qualified in 2020, 6 years ago. Practices with Ivyrehab Network Inc, a 653-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
6
Licensed in
NJ
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

251 Clifton Ave
Clifton, NJ 07011-1961
Phone: (973) 340-7092
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (NJ)

Record details

NPI number1164027942
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 1, 2020
Last updated in NPPESDecember 1, 2020
Certification dateDecember 1, 2020
Mailing address58 Carlson Pl, Lake Hiawatha, NJ 07034-3102

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ivyrehab Network Inc — 653 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Clifton