Andrea Grace Pillori

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02340500 Issued in NJ

Practice address

315 Wootton St # Ij
Boonton, NJ 07005-1939

Phone

(973) 794-6040

Fax

(973) 794-6041

NPI assigned

Jul 30, 2025

Last updated

Jul 30, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Pittsburgh School of Medicine, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Four 3 Performance Laboratory CorpGroup PAC ID 3779831714, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Four 3 Performance Laboratory Corp

  • Physical Therapy Clinic/Center
  • Boonton, NJ
  • NPI 1679936272

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1538042122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WOOTTON ST # IJ",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WOOTTON ST # IJ",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051939",
            "telephone_number": "973-794-6040",
            "fax_number": "973-794-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLORI",
        "first_name": "ANDREA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02340500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Pezzanite, MA, CCC-SLP
• Philip M Scaduto MD Patricia M Renz MD PC
• Angela Rafaella Piegari, MSW, LCSW
• Jose S Pierre, O.D.
• Gary D. Pignatello, MSW, LCSW
• Robin D Pinckney-St. John, LSW
• Serina Pino
• Melissa Piscitelli, LPC, LCADC
• Susannah Kate Pitman, C.A.
• Planet Health Pharmacy Corp (Preston Drugs & Surgicals)

• Physical Therapist in Boonton, NJ
• Providers in Boonton, 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 Jul 30, 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.