OrganizationActive
Altius Physical Therapy LLC
NPI 1124751748 · Physical Therapy Clinic/Center · Park Ridge, NJ
Provider details
- NPI number
- 1124751748
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Evan Bracconeri, Owner(845) 548-1641
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
52 Park Ave Ste A4
Park Ridge, NJ 07656-1277
Phone: (845) 548-1641
Approximate (ZIP-level) locationGet directions
Mailing address
769 Drake Ln
River Vale, NJ 07675-6115
Registry dates
- Enumerated
- 2022-07-01
- Last updated
- 2022-10-03
- Certified
- 2022-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.