Active NPI
Andrew C Perreault, PT
- Physical Therapist
- Brockton, MA
National Provider Identifier
1548423528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18142
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008248 | CT | MD | Clinical Social Worker |
| 18142 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comeback Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Grey Physical Therapy & Sports Medicine Center of Enfield, PC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Dorchester, MA
- NPI 1013295054
-
- Physical Therapist
- Enfield, CT
- NPI 1205918653
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.