Individual provider Active NPI

Alfred M Raccuia, DPT

  • Physical Therapist
  • East Brunswick, NJ
National Provider Identifier
1134556392
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01855800 Issued in NJ
Practice address
555 Route 18 Ste 101
East Brunswick, NJ 08816-3727
Phone
(732) 390-2017
NPI assigned
Oct 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 036509 NY
Physical Therapist 225100000X PT029586 PA
Physical Therapist 225100000X 40QA01855800 NJ Primary

Addresses

Primary practice location

555 Route 18 Ste 101
East Brunswick, NJ 08816-3727

Mailing address

981 Rte 22 FL 2
Bridgewater, NJ 08807-2946
Phone (201) 801-7141

Other practice location 1

9920 4th Ave
Brooklyn, NY 11209-8333
Phone (718) 238-9873

Other practice location 2

170 Pheasant Run Ste 202
Newtown, PA 18940-1877
Phone (215) 579-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150213000036 NY Practitioner - Physical Therapist in Private Practice 2264757384 Reassigns benefits to 1 organization
I20210902002860 NJ Practitioner - Physical Therapist in Private Practice 2264757384 Reassigns benefits to 1 organization
I20250729005059 PA Practitioner - Physical Therapist in Private Practice 2264757384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bucks Physical and Sports Rehabilitation LLCGroup PAC ID 0042101347, 29 clinicians
Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians

Practice addresses (Care Compare)

12000 Bustleton Ave
Suite 100
Philadelphia, PA 19116-2151
Phone (215) 677-8870

221 Rockingham Row
Princeton, NJ 08540-5759
Phone (609) 580-1520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks Physical & Sports Rehabilitation LLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince May 4, 2020 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Aug 27, 2021 Accepting new patients
Bucks Physical & Sports Rehabilitation Physical Therapist Past Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

981 US Highway 22
Bridgewater, NJ 08807
Phone (908) 231-0511

555 State Route 18
Ste 101
East Brunswick, NJ 08816
Phone (609) 817-0052

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

9020 5th Ave
Brooklyn, NY 11209
Phone (718) 333-5120

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

2133 Ralph Ave
Brooklyn, NY 11234
Phone (718) 451-1400

1351 Forest Ave
Staten Island, NY 10302
Phone (718) 390-0060

33 Richmond Hill Rd
Staten Island, NY 10314
Phone (718) 982-5358

31 New Dorp Ln
Staten Island, NY 10306
Phone (718) 370-3500

164 N Flowers Mill Rd
Unit 20
Langhorne, PA 19047

170 Pheasant Run
Ste 202
Newtown, PA 18940
Phone (215) 201-4605

12000 Bustleton Ave
Ste 100
Philadelphia, PA 19116
Phone (215) 677-8870

12000 Bustleton Ave
Philadelphia, PA 19116
Phone (215) 673-7600

100 Almshouse Rd
Richboro, PA 18954
Phone (215) 357-2000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1134556392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 RTE 22 FL 2",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072946",
            "telephone_number": "201-801-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 ROUTE 18 STE 101",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163727",
            "telephone_number": "732-390-2017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9920 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112098333",
            "country_code": "US",
            "telephone_number": "718-238-9873",
            "fax_number": "718-238-9754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Pheasant Run Ste 202",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189401877",
            "country_code": "US",
            "telephone_number": "215-579-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACCUIA",
        "first_name": "ALFRED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-02",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036509",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029586",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01855800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.