Individual provider Active NPI

Andrew C Perreault, PT

  • Physical Therapist
  • Brockton, MA
National Provider Identifier
1548423528
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18142 Issued in MA
Practice address
720 Centre St
Brockton, MA 02302-3366
Phone
(774) 218-5585
Fax
(561) 603-6450
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 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 18142 MA Primary
Physical Therapist 225100000X 008248 CT
Physical Therapist 225100000X PT03187 RI

Addresses

Primary practice location

720 Centre St
Brockton, MA 02302-3366

Mailing address

720 Centre St
Brockton, MA 02302-3366

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181022002263 MA Practitioner - Physical Therapist in Private Practice 1658446760 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008248CTMDClinical Social Worker
18142MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comeback Physical Therapy, Inc. Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
Grey Physical Therapy & Sports Medicine Center of Enfield, PC Physical Therapist PastSince Jul 30, 2015 Accepting new patients

Locations

390 Pleasant St
Ste 2
Brockton, MA 02301
Phone (508) 587-2225

720 Centre St
Brockton, MA 02302
Phone (508) 588-6800

415 Neponset Ave
Ste 2B
Dorchester, MA 02122
Phone (617) 287-2225

966 Park St
Ste A2
Stoughton, MA 02072
Phone (781) 341-1000

Organizations & group practices 2

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1548423528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 CENTRE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 CENTRE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023366",
            "telephone_number": "774-218-5585",
            "fax_number": "561-603-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERREAULT",
        "first_name": "ANDREW",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18142",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008248",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.