Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alicia Burillo Gorham, DPT

Individual provider Physical Therapist · NPI 1568895928

Alicia Burillo Gorham, DPT is a Physical Therapist in Private Practice in Danvers, Massachusetts. Qualified in 2012, 14 years ago. Practices with Proex Physical Therapy LLC, a 166-clinician group and accepts Medicare assignment. Licensed in Massachusetts and New York.

Years since qualifying
14
Licensed in
MA, NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

156 Andover St Unit 2
Danvers, MA 01923-1468
Phone: (978) 767-8343
Fax: (978) 767-8349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 21382 (MA)
Physical Therapist Taxonomy 225100000X · Licence 0361401 (NY)

Record details

NPI number1568895928
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 20, 2013
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025
Mailing address1 Credit Union Way Fl 3, Randolph, MA 02368-4633

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Proex Physical Therapy Llc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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