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

Andrea Grace Pillori

Individual provider Physical Therapist · NPI 1538042122

Andrea Grace Pillori is a Physical Therapist in Private Practice in Boonton, New Jersey. Graduated from University of Pittsburgh School of Medicine in 2025, 1 year ago. Practices with Four 3 Performance Laboratory Corp, an 11-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
1
Trained at
University of Pittsburgh School of Medicine
Licensed in
NJ
In the registry since
2025
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Practice location Address checks out

315 Wootton St # IJ
Boonton, NJ 07005-1939
Phone: (973) 794-6040
Fax: (973) 794-6041
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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 40QA02340500 (NJ)

Record details

NPI number1538042122
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJuly 30, 2025
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Four 3 Performance Laboratory Corp — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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