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

Raven Loftus, PT, DPT

Individual provider Physical Therapist · NPI 1790406122

Raven Loftus, PT, DPT is a Physical Therapist in Private Practice in Whiting, New Jersey. Qualified in 2022, 4 years ago. Practices with Sportscare of America, PC, a 132-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

63 Lacey Rd Ste H
Whiting, NJ 08759-2966
Phone: (732) 716-0111
Fax: (732) 716-0114
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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 40QA02112800 (NJ)

Record details

NPI number1790406122
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 5, 2022
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 2023
Mailing address11 Eagle Rock Ave Ste 201, East Hanover, NJ 07936-3167

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sportscare Of America, Pc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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