Individual provider Active NPI

Andrew Collentro, PT, DPT

  • Physical Therapist
  • Wayland, MA
National Provider Identifier
1316487911
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL21203 Issued in MA
Practice address
31 Andrew Ave Ste 201
Wayland, MA 01778-3026
Phone
(508) 358-3410
Fax
(844) 912-8609
NPI assigned
Mar 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1276095 TX
Physical Therapist 225100000X PTL21203 MA Primary

Addresses

Primary practice location

31 Andrew Ave Ste 201
Wayland, MA 01778-3026

Mailing address

4 Richmond SQ Ste 201
Providence, RI 02906-5117
Phone (401) 433-4172

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180119001768 MA Practitioner - Physical Therapist in Private Practice 4183983166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Fern Practice LLCGroup PAC ID 1658266515, 297 clinicians
Joint Ventures Physical Therapy IncGroup PAC ID 2163474560, 62 clinicians

Practice addresses (Care Compare)

115 Norwood Park S
Norwood, MA 02062-4633
Phone (781) 702-4630

31 Andrew Ave
Wayland, MA 01778-3026
Phone (617) 536-1161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL21203MAMDPhysical Therapist
1276095TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Ventures Physical Therapy, Inc. CurrentSince Jan 11, 2018 Accepting new patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Joint Ventures Physical Therapy, Inc. Physical Therapist CurrentSince Jan 11, 2018 Accepting new patients

Locations

1395 Commerce Way
Ste 112
Attleboro, MA 02703
Phone (508) 455-5740

654 Beacon St
Ste 2
Boston, MA 02215
Phone 61753611611

115 Norwood Park S
Norwood, MA 02062
Phone (781) 349-5181

31 Andrew Ave
Wayland, MA 01778
Phone (508) 358-3410

31 Andrew Ave
Ste 201
Wayland, MA 01778
Phone (508) 358-3410

4 Richmond Sq
Ste 201
Providence, RI 02906

4 Richmond Sq
Ste 200
Providence, RI 02906

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1316487911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RICHMOND SQ STE 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065117",
            "telephone_number": "401-433-4172",
            "fax_number": "401-433-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ANDREW AVE STE 201",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017783026",
            "telephone_number": "508-358-3410",
            "fax_number": "844-912-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLENTRO",
        "first_name": "ANDREW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-01",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1276095",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL21203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.