Alyssa Grace Bevacqua

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02356000 Issued in NJ

Practice address

43 Yawpo Ave Ste 10
Oakland, NJ 07436-2717

Phone

(201) 337-3307

NPI assigned

Sep 10, 2025

Last updated

Oct 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1245111897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 DIVISION AVE",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 YAWPO AVE STE 10",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362717",
            "telephone_number": "201-337-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVACQUA",
        "first_name": "ALYSSA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02356000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bergen Behavioral Wellness Associates, LLC
• Bergen Wellcare Solutions Inc.
• Alicia Bergen, COTA/L
• Natalie Joyce Berk-Terdiman, LCSW
• Bethesda Lutheran Communities
• Anthony Billera
• Vinod Boppana
• Janine Michelle Borsellino, MS, LAT, ATC, CES
• Clayton Irving Bridges Jr., P.A.-C.
• Megan E Brooks, P.T.

• Physical Therapist in Oakland, NJ
• Providers in Oakland, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.