Individual provider Active NPI

Raymond J Delacruz, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1760709422
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032627-1 Issued in NY
Practice address
1690 2ND Ave FRNT 3
New York, NY 10128-5950
Phone
(212) 203-6802
Fax
(212) 377-5741
NPI assigned
Apr 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 032627-1 NY Primary

Addresses

Primary practice location

1690 2ND Ave FRNT 3
New York, NY 10128-5950

Mailing address

1690 2ND Ave FRNT 3
New York, NY 10128-5950
Phone (212) 203-6802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028001402 NY Practitioner - Physical Therapist in Private Practice 5799979225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Clutch Physical Therapy PLLCGroup PAC ID 0143592386, 3 clinicians

Practice addresses (Care Compare)

1690 2ND Ave
New York, NY 10128-5866
Phone (212) 203-6802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032627NYMDPharmacist
032627-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clutch Physical Therapy PLLC Physical Therapist Current Accepting new patients
Sports Physical Therapy of New York, P.C. Physical Therapist PastSince Dec 11, 2013 Accepting new patients
Spear Physical and Occupational Therapy, LLC Physical Therapist Past Accepting new patients
D E Delopoulos Physical Therapist PastSince Jun 22, 2019 Accepting new patients

Organizations & group practices 5

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": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1760709422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 2ND AVE FRNT 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285950",
            "telephone_number": "212-203-6802",
            "fax_number": "212-377-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 2ND AVE FRNT 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285950",
            "telephone_number": "212-203-6802",
            "fax_number": "212-377-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "RAYMOND",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-21",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032627-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.