Andrew Perilli, PT DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041912 Issued in NY

Practice address

4901 Camp Rd Ste 300
Hamburg, NY 14075-2625

Phone

(716) 646-1100

Fax

(716) 646-1106

NPI assigned

Jun 20, 2017

Sex

Male

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Perilli Physical Therapy PCGroup PAC ID 0941619845, 5 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 and National Provider Directory roles.

• Perilli Physical Therapy PC

  • Physical Therapist
  • Lockport, NY
  • NPI 1043891765
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1790205995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 E DEPEW AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141815",
            "telephone_number": "716-481-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 CAMP RD STE 300",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140752625",
            "telephone_number": "716-646-1100",
            "fax_number": "716-646-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERILLI",
        "first_name": "ANDREW",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Beth Park, M.S. CCC/SLP
• Partners in Healing
• Lori Lucille Pasquarella, SLP
• Danielle Petrina Paterek, PHARMD
• Gregory Peri, ATC
• Lora Perreault, LCSWR
• Heather Petri
• John R Petrunyak, MPT
• Mark Pfohl, P.T.
• Christine Phillips

• Physical Therapist in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.